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目的探讨治疗输尿管中下段结石最佳治疗方法。方法经尿道输尿管镜联合气压弹道碎石治疗输尿管结石。其中下段300例,中段200例。结果500例患者均采用输尿管镜下气压弹道碎石术,成功480例,成功率达96%;12例输尿管中下段结石,结石移位于肾盂术后配合体外震波碎石治疗。其中8例输尿管中下段结石因输尿管口、输尿管中下段狭窄而改行开放手术治疗。结论输尿管镜配合气压弹道碎石治疗输尿管中下段结石具有创伤小、操作成功率高、患者易于接受的特点。
Objective To explore the best treatment of stones in the lower ureter. Methods Transurethral ureteroscopy combined with pneumatic lithotripsy for the treatment of ureteral calculi. The lower 300 cases, the middle 200 cases. Results 500 patients underwent ureteroscopic pneumatic lithotripsy, the success of 480 cases, the success rate of 96%; 12 cases of ureteral stones in the lower ureter, calculi in the shift after surgery with external shock wave lithotripsy. Of which 8 cases of ureteral stones in the lower ureter due to ureter, ureteral stenosis and diverted open surgery. Conclusion ureteroscopy combined with pneumatic lithotripsy in the treatment of lower ureteral stones with trauma, high success rate, the characteristics of patients with easy to accept.