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目的探讨复杂性尿道结石的最佳治疗方法。方法总结从1999年到2004年收治的24例复杂尿道结石,在局麻下采用输尿管镜下气压弹道碎石术治疗的疗效。结果24例尿道结石患者全部一次治愈,排尿困难或急性尿潴留得以解除,无明显短期并发症,术后1~3d出院。术后随访3个月~5年,复查无术后尿道狭窄发生。结论输尿管镜下气压弹道碎石术治疗尿道结石能一期击碎并排净结石,解除尿路梗阻,操作简便,对尿道损伤小,术后并发症少,恢复快,是一种较好的治疗尿道结石的方法。
Objective To explore the best treatment of complex urethral stones. Methods From 2004 to 2004, 24 cases of complex urethral calculus were treated with ureteroscopic pneumatic lithotripsy under local anesthesia. Results All the 24 patients with urethral calculus were cured at one time, and dysuria or acute urinary retention were relieved. There was no obvious short-term complications and they were discharged 1 to 3 days after operation. All patients were followed up for 3 months to 5 years. No postoperative urethral stricture was observed. Conclusions Ureteroscopic pneumatic lithotripsy for the treatment of urethral calculus can be one of the first crushed and clear stones, relieve urinary tract obstruction, easy to operate, less damage to the urethra, less postoperative complications, faster recovery, is a better treatment Urethral calculi method.