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目的:探讨输尿管镜气压弹道碎石术治疗输尿管结石的疗效。方法:回顾性分析2008年1月~2013年1月149例输尿管结石采用输尿管镜联合气压弹道碎石术治疗的临床疗效。结果:134例碎石成功或取出,成功率89.9%。其中上段结石成功率66.7%(16/24),中下段为96%(120/125)。8例结石上移入肾盂,置人双J管后行体外冲击波碎石术。7例转开放手术,其中6例因严重输尿管狭窄,1例因输尿管穿孔。结论:输尿管镜联合气压弹道碎石治疗输尿管结石手术效果好,中下段结石成功率更高。
Objective: To investigate the efficacy of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods: The clinical efficacy of ureteroscopic combined with pneumatic lithotripsy in 149 cases of ureteral calculi during January 2008 to January 2013 was retrospectively analyzed. Results: 134 cases of gravel success or removal, the success rate of 89.9%. The success rate of upper stones was 66.7% (16/24), middle and lower segments were 96% (120/125). 8 cases of stones into the renal pelvis, set double J tube after extracorporeal shock wave lithotripsy. Seven patients underwent open surgery, including 6 cases of ureteral stricture and 1 case of ureter perforation. Conclusions: Ureteroscopy combined with pneumatic lithotripsy is effective in treating ureteral calculi. The success rate of middle and lower calculi is higher.