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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临床效果。方法回顾性分析2009年7月至2011年10月124例输尿管镜气压弹道碎石术治疗输尿管结石患者的临床资料。结果输尿管镜直视下一次碎石成功115例,成功率为92.7%(115/124),上段、中段、下段输尿管结石治疗成功率分别为80.0%(16/20)、92.3%(36/39)和96.9%(63/65)。手术时间15～120 min,平均45 min。急性肾功能衰竭患者血尿素氮、肌酐恢复正常或接近正常。结论输尿管镜气压弹道碎石术安全、高效、损伤小,能同时处理双侧输尿管结石,快速解除梗阻,可作为输尿管中下段结石的首选方法。
Objective To investigate the clinical effect of ureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi. Methods The clinical data of 124 patients undergoing ureteroscopic pneumatic lithotripsy for ureteral calculi from July 2009 to October 2011 were retrospectively analyzed. Results The success rate of the ureteral calculi in the upper, middle and lower ureteral calculi in the ureteroscope was 115% (115 cases) in the 115 cases (80.0%), 92.3% (36/39) ) And 96.9% (63/65). The operation time was 15 to 120 minutes with an average of 45 minutes. Patients with acute renal failure blood urea nitrogen, creatinine returned to normal or near normal. Conclusions Ureteroscopic pneumatic lithotripsy is safe, effective and less damaging. It can simultaneously treat bilateral ureteral calculi and quickly relieve the obstruction. It can be used as the first choice for the middle and lower ureteral calculi.