中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
11期
14-16
,共3页
输尿管镜%气压弹道%输尿管结石
輸尿管鏡%氣壓彈道%輸尿管結石
수뇨관경%기압탄도%수뇨관결석
Ureteroscopy%Pneumatic%Ureteral calculus
目的：探讨输尿管镜气压弹道碎石术治疗输尿管结石的手术技巧及临床疗效。方法：回顾分析笔者所在医院2011年1月-2014年6月采用输尿管镜联合气压弹道碎石术治疗364例输尿管结石患者的临床资料，观察治疗效果及相关并发症。结果：本组364例患者，手术时间15~80 min，平均35 min，术中出血量5~30 ml，平均10 ml，住院时间2~7 d，平均3.5 d，一次性碎石成功率为94.5%，上段结石碎石成功率为90.2%，中段为93.7%，下段为98.4%，并发症发生率为2.5%。结论：输尿管镜联合气压弹道碎石治疗输尿管结石疗效确切，合理选择病例、提高手术操作技巧、实施临床路径可有效提高碎石成功率，缩短住院时间，减少并发症的发生，值得临床推广。
目的：探討輸尿管鏡氣壓彈道碎石術治療輸尿管結石的手術技巧及臨床療效。方法：迴顧分析筆者所在醫院2011年1月-2014年6月採用輸尿管鏡聯閤氣壓彈道碎石術治療364例輸尿管結石患者的臨床資料，觀察治療效果及相關併髮癥。結果：本組364例患者，手術時間15~80 min，平均35 min，術中齣血量5~30 ml，平均10 ml，住院時間2~7 d，平均3.5 d，一次性碎石成功率為94.5%，上段結石碎石成功率為90.2%，中段為93.7%，下段為98.4%，併髮癥髮生率為2.5%。結論：輸尿管鏡聯閤氣壓彈道碎石治療輸尿管結石療效確切，閤理選擇病例、提高手術操作技巧、實施臨床路徑可有效提高碎石成功率，縮短住院時間，減少併髮癥的髮生，值得臨床推廣。
목적：탐토수뇨관경기압탄도쇄석술치료수뇨관결석적수술기교급림상료효。방법：회고분석필자소재의원2011년1월-2014년6월채용수뇨관경연합기압탄도쇄석술치료364례수뇨관결석환자적림상자료，관찰치료효과급상관병발증。결과：본조364례환자，수술시간15~80 min，평균35 min，술중출혈량5~30 ml，평균10 ml，주원시간2~7 d，평균3.5 d，일차성쇄석성공솔위94.5%，상단결석쇄석성공솔위90.2%，중단위93.7%，하단위98.4%，병발증발생솔위2.5%。결론：수뇨관경연합기압탄도쇄석치료수뇨관결석료효학절，합리선택병례、제고수술조작기교、실시림상로경가유효제고쇄석성공솔，축단주원시간，감소병발증적발생，치득림상추엄。
Objective:To investigate the surgical technique and clinical efficacy of ureteroscopy pneumatic lithotripsy in the treatment of ureteral calculus.Method:The clinical data of 364 patients with ureteral calculus who treated with ureteroscopy combined pneumatic ballistic lithotripsy in our hospital from January 2011 to June 2014 were retrospectively analyzed,and the treatment effect and related complications were also observed.Result:In 364 patients of this group,the operative time was from 15-80 min,the average was 35 min;the intraoperative blood loss was 5-30 ml,the average was 10 ml;the hospitalization time was from 2-7 days,the average was 3.5 days,the one-time success rate of crushing calculi was 94.5%,success rate of crushing calculi in the upside segment was 90.2%,in the middle segment was 93.7%,in the downside segment was 98.4%, the incidence rate of related complication was 2.5%.Conclusion:The curative effect of ureteroscopy combined with pneumatic lithotripsy in the treatment of ureteral calculus is effective.Through reasonable chosen of cases and improvement on operative techniques,the implementation of clinical pathways can effectively improve the success rate of crushing calculi,shorten the length of hospital stay and reduce complications,is worth clinical promotion.
