[1]李建昌,张会清,张英杰,等.输尿管镜下气压弹道碎石术治疗输尿管结石[J].中国微创外科杂志,2007,07(3):251-254.
　Li Jianchang,Zhang Huiqing,Zhang Yingjie,et al.Treatment of ureteral calculus with transurethral ureteroscopic pneumatic lithotripsy[J].Chinese Journal of Minimally Invasive Surgery,2007,07(3):251-254.
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输尿管镜下气压弹道碎石术治疗输尿管结石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年3期
页码:
251-254
栏目:
出版日期:
2007-03-20

文章信息/Info

Title:
Treatment of ureteral calculus with transurethral ureteroscopic pneumatic lithotripsy
作者:
李建昌; 张会清; 张英杰; 刘沛; 余沁楠
新乡医学院第一附属医院泌尿外科,卫辉453100
Author(s):
Li Jianchang;  Zhang Huiqing;  Zhang Yingjie;  et al.
Department of Urology, First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, China
关键词:
输尿管结石; 输尿管镜; 气压弹道碎石
Keywords:
Ureteral calculus; Ureteroscopy; Pneumatic ballistic lithotripsy
分类号:
R693+.4
文献标志码:
A
摘要:
目的探讨输尿管0镜下气压弹道碎石治疗输尿管结石的疗效。 方法2002年9月~2005年8月对320例输尿管结石采用德国Wolf F9.8输尿管硬镜和瑞士EMS气压弹道碎石机经尿道置镜碎石,碎石针直径08 mm或1.0 mm,碎石压力200~300 kPa, 采用单次或连续击发的方式碎石。结果6例结石冲回肾盂,改体外冲击波碎石治疗；5例插输尿管镜、碎石失败, 改开放手术。碎石时间2~10 min,平均5.5 min。术中出血量3~15 ml,平均7 ml。309例碎石成功,成功率96.6%(309/320)。术后住院时间3~7 d,平均4.5 d。24例输尿管黏膜损伤,4例形成假道,置双J管1个月后痊愈。309例随访1~10个月,平均4个月，1个月内结石全部排净,未出现输尿管狭窄、尿路感染等并发症。 结论输尿管镜下气压弹道碎石治疗输尿管结石方法安全、疗效可靠。
Abstract:
ObjectiveTo investigate therapeutic effects of transurethral ureteroscopic pneumatic lithotripsy (TUPL).MethodsA retrospective analysis was made on 320 cases of ureteral calculus treated with TUPL from September 2002 to August 2005. A Wolf F9.8 rigid ureteroscope and an EMS pneumatic ballistic lithotriptor were used. The probe was 0.8 mm or 1.0 mm in diameter. The pulse settings was 200~300 kPa. The fragmentation was conducted with single or multiple episode of treatment.ResultsThe stone was pushed back to the renal pelvis in 6 cases and a conversion to extracorporeal shock wave lithotripsy (ESWL) was needed. The insertion of the ureteroscope was failed in 5 cases and a conversion to open surgery was required. The TUPL time was 2~10 min (mean, 5.5 min) and the intraoperative blood loss was 3~15 ml (mean, 7 ml). The stones were successfully fragmented on one session in 309 cases, the success rate being 96.6% (309/320). The length of postoperative hospital stay was 3~7 d (mean, 4.5 d). There were 24 cases of mucosal injury of the ureter and 4 cases of false passage, all of which were cured with doubleJ catheter indwelling for 1 month. Followup examinations for 1~10 months (mean, 4 months) showed stone clearance within 1 month and no ureteral stenosis or urinary infection.ConclusionsTransurethral ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculus is safe and effective.

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更新日期/Last Update: 2013-11-15