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目的 探讨在输尿管镜下使用气压弹道碎石机治疗多发及双侧输尿管结石的临床效果。方法 对 1998年 3月～ 2 0 0 3年 3月 ,采用输尿管镜下气压弹道碎石治疗多发及双侧输尿管结石患者的临床资料进行回顾性分析。结果 84例 (114侧 )中 ,74例 (10 2侧 )一次治疗成功 ,成功率为 88.1% ,6例 (6侧 )输尿管镜未能接近结石处 ,4例 (6侧 )因术中结石移位至肾盂而未能完全粉碎。结论 输尿管镜下气压弹道碎石治疗多发及双侧输尿管结石疗效确切 ,多数患者可一次完成全部结石治疗。
Objective To investigate the clinical efficacy of pneumatic lithotripsy in ureteroscopic treatment of multiple and bilateral ureteral calculi. Methods From March 1998 to March 2003, the clinical data of ureteroscopic pneumatic lithotripsy in the treatment of multiple and bilateral ureteral calculi were analyzed retrospectively. Results Among the 84 cases (114 sides), 74 cases (102 sides) were successfully treated with a success rate of 88.1%. Ureteroscopy was not found in 6 cases (6 sides) and stones in 4 cases (6 sides) Shifted to the renal pelvis but not completely crushed. Conclusions Ureteroscopic pneumatic lithotripsy is effective in treating multiple and bilateral ureteral calculi. Most patients can complete all the stone therapy at one time.