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目的 探讨输尿管镜气压道弹碎石术治疗输尿管结石的临床疗效。方法 在输尿管镜窥视下采用气压弹道碎石机对 10 8例输尿管结石进行治疗。结果 10 3例原位碎石成功 ,总成功率 95 .3 % ,其中输尿管上段结石成功率为 83 .3 % ,中段结石为96.3 % ,下段结石为 98.4%。平均碎石时间 ( 4 .5± 2 .2 )min ,术后 1~ 3个月结石排净率 10 0 %。结论 输尿管镜气压弹道碎石术治疗输尿管结石具有安全、有效、容易操作等特点 ,是治疗输尿管结石的首选方法
Objective To investigate the clinical efficacy of ureteroscopic pneumatic debridement for the treatment of ureteral calculi. Methods Pneumatic lithotripsy was used to treat 108 ureteral calculi under the peephole of ureteroscope. Results Of the 103 cases, the success rate of in situ lithotripsy was 95.3%. The successful rate of upper ureteral calculi was 83.3%, the middle stone was 96.3% and the lower stone was 98.4%. The average gravel time was (4.5 ± 2.2) min, and stone clearance rate was 100% after 1 ~ 3 months. Conclusions Ureteroscopic pneumatic lithotripsy for the treatment of ureteral calculi is safe, effective and easy to operate. It is the first choice for the treatment of ureteral calculi