《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (9): 869-871.

• 论文 • 上一篇    下一篇

嵌顿性输尿管结石的微创治疗

庞栋，贺兵，贾永中，王华，肖序仁   

  1. 武警总医院泌尿外科，北京市 100039。
  • 收稿日期:2010-07-19 修回日期:2010-09-10 出版日期:2010-09-25 发布日期:2010-09-25

Minimally Invasive Treatment for Ureteral Calculus Accompanied with Granulation: 27 Cases Report

PANG Dong, HE Bing, JIA Yong-zhong, et al   

  1. Department of Urology, The General Hospital of Chinese People's Armed Police Force, Beijing 100039, China
  • Received:2010-07-19 Revised:2010-09-10 Published:2010-09-25 Online:2010-09-25

PDF (PC)

被引次数

3

摘要： 目的探讨嵌顿性输尿管结石采用输尿管镜下2 μm激光联合气压弹道碎石治疗的安全性、有效性。方法对27例（30侧）嵌顿性输尿管结石患者进行回顾性分析。结果28例侧原位碎石成功。碎石时间15～45 min，平均25 min；术中出血量3～15 ml ，平均5 ml。术后住院时间3～7 d，平均5.5 d。1例上段结石上移至肾盂，留置支架管后辅以体外冲击波碎石;1例输尿管狭窄置镜失败。随访3～15个月，平均8个月。术后1个月，26例侧结石排净，4例侧残石存在；未出现输尿管狭窄、尿路感染等并发症。结论输尿管镜下2 μm激光联合气压弹道碎石治疗嵌顿性输尿管结石安全、高效。

关键词: 输尿管结石, 输尿管镜, 2 μm激光, 气压弹道碎石

Abstract: ObjectiveTo investigate the therapeutic effects, safety of pneumatic lithotripsy and 2 μm laser via transurethral ureteroscope for ureteral calculi accompanied with granulation. Methods27 cases (30 sides) of ureteral calculi accompanied with granulation treated with 2 μm laser and pneumatic lithotripsy via ureteroscope were reviewed. Results28 sides were fragmented successfully in a single procedure. The operation time was 15～45 min (mean 25 min). The intraoperative blood loss was 3～15 ml (mean 5 ml). The postoperative hospitalization time was 3～7 d (mean 5.5 d). 1 upper ureteral stone was pushed back to the renal pelvis and extracorporeal shock wave lithotripsy was needed. The insertion of the ureteroscope was failed in 1 cases, who accepted open operation finally. Double-J tubes were pulled out in all the patients after 1 month, and 26 sides were stone-free. They were followed-up for 3～15 months (mean 8 months), no ureteral stenosis or urinary infection was found. Conclusion2 μm laser and pneumatic lithotripsy via ureteroscope is an effective and safe therapy for ureteral calculi with granulation, especially for those on middle or lower levels.

Key words: ureteral calculi, ureteroscope, 2 μm laser, pneumatic ballistic lithotripsy