中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
23期
60-61
,共2页
柯希林%刘自忠%喻新吉%钟华
柯希林%劉自忠%喻新吉%鐘華
가희림%류자충%유신길%종화
输尿管镜%气压弹道碎石术%输尿管结石
輸尿管鏡%氣壓彈道碎石術%輸尿管結石
수뇨관경%기압탄도쇄석술%수뇨관결석
Ureteroscopy%Pneumatic ballistic lithotripsy%Ureteral calculi
目的：总结输尿管镜气压弹道碎石术治疗输尿管上段结石的临床效果。方法：分析近3年来气压弹道碎石治疗102例输尿管上段结石患者的资料。结果：102例患者中出现输尿管小的穿孔1例，输尿管黏膜下损伤2例，均及时放置F4号双J管，结束手术，9例插镜至肾盂后结石已进入肾盏，无法腔内碎石。碎石成功率88.23%。结论：输尿管镜气压弹道碎石术治疗输尿管上段结石具有安全、有效、较易操作、术后住院日短、康复快、经济等特点，是一种治疗输尿管上段结石比较理想的方法之一，但术中操作一定要谨慎，否则也可能发生较严重的并发症。
目的：總結輸尿管鏡氣壓彈道碎石術治療輸尿管上段結石的臨床效果。方法：分析近3年來氣壓彈道碎石治療102例輸尿管上段結石患者的資料。結果：102例患者中齣現輸尿管小的穿孔1例，輸尿管黏膜下損傷2例，均及時放置F4號雙J管，結束手術，9例插鏡至腎盂後結石已進入腎盞，無法腔內碎石。碎石成功率88.23%。結論：輸尿管鏡氣壓彈道碎石術治療輸尿管上段結石具有安全、有效、較易操作、術後住院日短、康複快、經濟等特點，是一種治療輸尿管上段結石比較理想的方法之一，但術中操作一定要謹慎，否則也可能髮生較嚴重的併髮癥。
목적：총결수뇨관경기압탄도쇄석술치료수뇨관상단결석적림상효과。방법：분석근3년래기압탄도쇄석치료102례수뇨관상단결석환자적자료。결과：102례환자중출현수뇨관소적천공1례，수뇨관점막하손상2례，균급시방치F4호쌍J관，결속수술，9례삽경지신우후결석이진입신잔，무법강내쇄석。쇄석성공솔88.23%。결론：수뇨관경기압탄도쇄석술치료수뇨관상단결석구유안전、유효、교역조작、술후주원일단、강복쾌、경제등특점，시일충치료수뇨관상단결석비교이상적방법지일，단술중조작일정요근신，부칙야가능발생교엄중적병발증。
To summarize the clinical effect of ureteroscopic pneumatic ballistic lithotripsy in the treatment of upper ureteral calculi.Methods:Analyze the data of 102 cases wirh upper ureteral calculi in the treatment of pneumatic lithotripsy in the past 3 years.Results:In 102 cases,1 cases of ureter perforation;2 cases of ureteral mucosa damage.They were all placed the F4 double J tube timely.After the operation,9 cases inserted mirror to pelvis calyceal calculi after has entered,so it can not taken endoscopic lithotripsy.The success rate was 88.23% .Conclusion:Ureteroscopic pneumatic lithotripsy in the treatment of upper ureteral calculi is safety,effectivly,and easy to operate.It also has the characteristics of shorter postoperative hospital stay,faster recovery,economic and so on.It can be one of the ideal methods for the treatment of upper ureteral calculi if mastered this operation skills.But the operation must be careful,otherwise there may also had more serious complications.
