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目的:探讨输尿管镜联合气压弹道碎石术治疗输尿管结石的操作技巧和临床疗效。方法:回顾性分析2002年8月~2012年12月采用输尿管镜联合气压弹道碎石术治疗输尿管结石患者865例的临床资料。结果:一次性碎石成功率97.11%(840/865),其中上段输尿管结石碎石成功率63.89%(23/36),中下段输尿管结石碎石成功率98.55%(817/829);手术时间15~110min,平均35min;术中出血量5~80ml,平均15ml,均未输血。结论:积极探索、积累,总结、提高输尿管镜手术操作技巧有利于减少手术并发症,对于提高输尿管镜手术成功率十分关键。
Objective: To discuss the operation skill and clinical curative effect of ureteroscopic combined with pneumatic lithotripsy in the treatment of ureteral calculi. Methods: The clinical data of 865 patients with ureteral calculi treated by ureteroscopy combined with pneumatic lithotripsy from August 2002 to December 2012 were retrospectively analyzed. Results: The success rate of one-time lithotripsy was 97.11% (840/865), of which the success rate was 63.89% (23/36) in the upper ureteral calculi and 98.55% (817/829) in the middle and lower ureteral calculi. The operation time 15 ~ 110min, an average of 35min; intraoperative blood loss of 5 ~ 80ml, an average of 15ml, were not transfused. Conclusion: To actively explore, accumulate, summarize and improve the operative skills of ureteroscopic surgery is conducive to reducing surgical complications, which is very important for improving the success rate of ureteroscopic surgery.