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目的探讨输尿管镜下气压弹道碎石术治疗输尿管结石的效果。方法应用输尿管镜下气压弹道碎石治疗输尿管结石138例。男102例,女36例,年龄22~65岁,平均43岁。输尿管上段结石22例,中段40例,下段76例。结石直径0.25 cm×0.50 cm~1.00 cm×1.80 cm,其中双侧结石22例,体外冲击波碎石术(ESWL)治疗失败12例,4例曾行同侧或对侧输尿管切开取石术。结果138例输尿管结石患者成功率91.31%(126例),10例改用ESWL治疗成功,2例因输尿管口狭窄行输尿管切开取石术。结论输尿管镜直视下气压弹道碎石术治疗输尿管结石疗效确切、安全、创伤小,可作为输尿管中段和下段结石的首选治疗方法。
Objective To investigate the effect of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods ureteroscopic pneumatic lithotripsy ureter stones in 138 cases. 102 males and 36 females, aged 22 to 65 years, mean 43 years. Ureteral calculi in the upper 22 cases, 40 cases of the middle, lower 76 cases. The diameter of stones was 0.25 cm × 0.50 cm ~ 1.00 cm × 1.80 cm, including 22 cases of bilateral stones, 12 cases of ESWL failure and 4 cases of ipsilateral or contralateral ureteral incision and lithotripsy. Results 138 cases of ureteral calculi in patients with success rate of 91.31% (126 cases), 10 patients switched to ESWL treatment success, 2 cases of ureteral stenosis ureterolithotomy. Conclusions Ureteroscopic pneumatic lithotripsy under ureteroscopy for the treatment of ureteral calculi is effective, safe and less invasive and can be used as the first choice for the treatment of middle and lower ureteral stones.