【摘要】 目的探讨输尿管结石行体外震波碎石术(ESWL)后残留结石的治疗方法。方法对85例ESWL术后残留输尿管结石患者,应用输尿管镜下气压弹道碎石术治疗。结果82例中79例原位一次碎石成功,3例有较大结石返回肾脏,加行1次ESWL,术后2个月复查结石均排净。仅1例结石下方输尿管明显狭窄进镜困难而改开放手术、另2例结石下方有较大肉芽组织粘连进镜时出现输尿管穿孔而改行开放手术取石。结论输尿管镜下气压弹道碎石术治疗ESWL术后残留输尿管结石安全、有效,可作为本病的首选治疗。更多还原

【Abstract】 Objectiv to evaluate clinical efficacy of ureteroscopic pneumatic lithotripsy for residua ureteral calculi after ESWL.Methods 85 patients with ureteral calcui that treated with uretterosopic pneumatic lithotripsy after unsuccessful ESWL were analyzed.Results 79 of 82 patients with ureteral calculi were succeeded pneumatic ureteroscopic lithotripsy at the one time.3 patients with big stone returned to kidney were given ESWL for second time.The calculi in all patients were discharged thoroughly after two month.Only one case was treated with operation because naarrowed ureter was difficult for ureterospoce to reach the stone.The other two patients was treated with operation because the perforation was occured during the application of ureteroscope because of resulting from the narrow below calculus.Conclusion Ureteroscopic pneumatic lithotripsy is a safe and effective treatment for residua ureteral calculi after ESWL.It should be considered as the first choice of treatment.更多还原