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目的:探讨防止输尿管上段结石上移,提高输尿管上段结石治疗成功率的方法。方法:对138例输尿管上段结石患者在进行输尿管镜下钬激光或气压弹道碎石中应用封堵器进行治疗。结果:132例一次治疗结石排除,6例部分结石上移至肾脏,术后配合ESWL经药物治疗后排出。结论:在输尿管镜下钬激光或气压弹道碎石中应用封堵器,可减少输尿管上段结石碎石术中结石上移,提高碎石及清石率,缩短手术时间,降低手术并发症,减少二次手术操作或后续治疗,操作简单,值得临床应用推广。
Objective: To explore ways to prevent the upper ureteral calculi from moving up and to improve the success rate of upper ureteral calculi. Methods: 138 cases of upper ureteral calculi were treated with occluder in ureteroscopic holmium laser or pneumatic lithotripsy. Results: 132 cases of primary stones were excluded, 6 cases of partial stones were transferred to the kidney, and ESWL was discharged after the treatment. Conclusions: Ureteroscopic holmium laser or pneumatic lithotripsy in the application of occluder can reduce the upper ureteral stone lithotripsy stones move up, improve the gravel and clear stone rate, shorten the operation time and reduce the complications of surgery and reduce the secondary Surgical operation or follow-up treatment, simple operation, it is worth to promote clinical application.