[门诊输尿管镜检查及气压弹道碎石术。1803例输尿管结石治疗后的经验]
[Ambulatory ureteroscopy and pneumatic lithotripsy. Our experience after 1803 ureteral stones].
作者信息
Moyano Calvo José Luis, Huesa Martínez Ignacio, Ramírez Mendoza Antonio, Dávalos Casanova Guillermo, Aparcero Rodríguez Eduardo, Morales López Antonio, Maestro Durán José Luis
机构信息
Centro Urológico San Ignacio, Sevilla, España.
出版信息
Arch Esp Urol. 2004 Jun;57(5):539-44.
OBJECTIVES
Ureteroscopy with endoscopical stone fragmentation is effective in the treatment of ureteral lithiasis. We report our experience, as well as our methods.
METHODS
1803 cases of ureteral stones were treated as outpatient. 44% were located in the lumbar ureter, 11% in the iliac ureter, and 45% in the pelvic ureter. Average size was 0.87 (0.4-2.2) cm. A 7 Fr Wolf rigid ureteroscope and a lithoclast type pneumatic lithotripter were employed. Lithotripsy was performed to an extent that small fragments might be spontaneously passed.
RESULTS
98% of the stones were solved. 16% required additional ESWL. 16% of the patients required the insertion of a double J stent. 12% of the patients required more than one session. Complications appeared in 8% of the patients.
CONCLUSIONS
Good results: 98% success rate. It can be performed as outpatient. The support of an ESWL unit is basic.
目的
输尿管镜检查及内镜下碎石术在输尿管结石治疗中疗效显著。我们报告我们的经验及方法。
方法
1803例输尿管结石患者作为门诊病人接受治疗。44%的结石位于输尿管腰部段，11%位于输尿管髂部段，45%位于输尿管盆腔段。结石平均大小为0.87（0.4 - 2.2）厘米。使用7Fr的Wolf硬性输尿管镜及碎石钳型气压弹道碎石机。进行碎石，使小结石碎片能自行排出。
结果
98%的结石得到解决。16%的患者需要额外的体外冲击波碎石术（ESWL）。16%的患者需要插入双J支架。12%的患者需要不止一次治疗。8%的患者出现并发症。
结论
效果良好：成功率达98%。可作为门诊手术进行。体外冲击波碎石设备的支持是基本条件。
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