输尿管镜下气压弹道碎石治疗输尿管结石的疗效观察(1)
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[摘要] 目的：探讨输尿管镜下气压弹道碎石治疗输尿管结石的临床疗效。方法：回顾性分析比较输尿管上段(41例)、中段(109例)、下段结石患者(187例)的临床资料，所有患者均采用输尿管镜下气压弹道碎石治疗，分析其临床疗效。结果：中、下段结石组手术时间及住院时间短于上段结石组，一次性碎石成功率及清除率高于上段结石组，差异均有统计学意义(均P<0.05)；严重手术并发症发生率为2.37%(8/337)。结论：输尿管镜下气压弹道碎石治疗输尿管结石的具有排石容易安全、可靠、有效、排石率高、创伤小、术后恢复快等优点，尤其更适合于中、下段输尿管结石的治疗。
[关键词] 输尿管结石；输尿管镜；气压弹道碎石
[中图分类号] R693.4 [文献标识码] B [文章编号] 1673-7210(2011)12(a)-180-03
Observation of the effects of the ureteroscope swiss lithoclast in treating ureteral calculus
ZHANG Qingrong, LIAO Weiqiang, CHEN Zhiquan
The People's Hospital of Luoding City, Guangdong Province, Luoding 527200, China
[Abstract] Objective: To explore the clinical curative effect of the ureteroscope swiss lithoclast in treating ureteral calculus. Methods: The clinical data of upper (41 cases), middle (109 cases) and lower (187 case) ureteral calculus patients were retrospectivly analyzed. All the patients were treated with ureteroscope swiss lithoclast, and the effects of them were analyzed. Results: Operation time and hospital stay time of the middle and lower calcali group were significantly shorter than those of the upper calcali group, one-time success rate and clearance rate of gravel of the middle and lower calcali group were significantly higher than those of the upper calcali group, there were significant differences (all P<0.05). The incidence of serious complications was 2.37%(8/337). Conclusion: The ureteral calculus is treated with the ureteroscope swiss lithoclast, the excellence is safe, reliable, effective, high removing urinary calculus rate, less wound, recover fast after surgery. It is suitable to the middle and lower calcali.
[Key words] Ureteral calculus; Ureteroscope; Ureteroscope swiss lithoclast
输尿管镜下气压弹道碎石术(ureteroscope Swiss lithoclast，URSL)是20世纪90年代开始应用于临床的泌尿外科腔内碎石方法，自输尿管镜应用于临床以来，输尿管结石的治疗发生了根本性变化，输尿管镜与各种碎石设备的广泛结合，极大地提高了输尿管结石微创治疗的成功率[1]。输尿管结石不论在输尿管任何部位都可以采用输尿管镜取石术，安全、可靠、有效，成功率高，已日益取代传统的输尿管切开取石术，特别是治疗中、下段结石，疗效更令人满意[2]。2006年1月~2011年1月，我院采用URSL治疗输尿管结石患者337例，获得良好效果，现报道如下：
1 资料与方法
1.1 一般资料
本组患者337例，其中，男209例，女128例；年龄17~85岁，平均(42.8±6.9)岁；病史5 d~3年，平均(10.8±3.7)个月；右侧输尿管结石185例，左侧152例；多发性结石79例，单发性258例 ......
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