输尿管镜治疗输尿管结石的效果

URETEROSCOPY FOR URETEROLITHIASIS

①目的 观察输尿管镜治疗输尿管结石的效果。②方法 对 96例输尿管镜治疗输尿管结石的病例资料进行回顾性分析。③结果 均采用直接进镜法 ,用套石篮或取石钳取出、或气压弹道碎石后排除结石 89例 ,成功率 92 .7%。其中中、下段结石 92例 ,取出或碎石后排除结石 87例 ,成功率为 94 .6 %。膀胱穿孔 1例 ,输尿管穿孔 1例 ,输尿管黏膜下损伤形成假道 1例 ,并发症发生率为 3.1%。④结论 输尿管镜治疗输尿管结石 ,尤其是输尿管中。

Objective To evaluate the effectiveness of ureteroscopy in the treatment of ureterolithiasis. Methods Ninety-six cases of ureteral stones treated with ureteroscope were studied retrospectively. Results A ureteroscope was directly inserted into all the 96 patients, in which, the stones in 89 cases were removed by stone baskets, stone forceps or lithotriptors following air pressure ballistic lithotripsy, the success rate being 92.7%. In the 92 patients with the stones located in the middle or lower segments, the success rate of removal was 94.6% in 87 patients. The complications were 3.1%, which included perforation of the bladder(1), ureteral perforation(1) and formation of a false tract of the ureter in one case due to submucous injury . Conclusion Using ureteroscopy is effective for ureteral stones, especially for those located in the middle or lower segments.