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1995年9月至1995年12月,我院开展经输尿管镜气压弹道碎石术54例,现将初步体会报告如下。 1 资料与方法本组病人54例。男性35例,女性19例。年龄28～69岁,平均46岁。其中输尿管上段结石14例,中段结石17例,下段结石21例,ESWL术后“石街”形成2例。左侧31例,右侧23例。结石最小0.5cm×0.6cm,最大1.2cm×1.5cm。12例输尿管上段结石病人曾行EXWL治疗效果不佳而改行经输尿管镜气压弹道碎石术。使用设备:Storz F9.5硬性输尿管镜,气压弹道碎石机(EMS Lithoclast),华南理工大学产液压灌注扩张泵,Storz输尿管镜专用取石钳。手术操作:采用双管硬膜外麻醉。患者取截石位,
From September 1995 to December 1995, our hospital carried out 54 cases of ureteroscopic pneumatic lithotripsy, now the preliminary experience report is as follows. 1 Materials and Methods 54 patients in this group of patients. 35 males and 19 females. Age 28 to 69 years old, average 46 years old. Of which 14 cases of upper ureteral calculi, stone in the middle 17 cases, 21 cases of lower stones, ESWL after the “Stone Street ” formed in 2 cases. 31 on the left and 23 on the right. The smallest stones 0.5cm × 0.6cm, the largest 1.2cm × 1.5cm. 12 cases of upper ureteral calculi patients had EXWL poor treatment and diverted by ureteroscopic pneumatic lithotripsy. Equipment: Storz F9.5 rigid ureteroscope, pneumatic ballistic lithotripsy machine (EMS Lithoclast), South China University of Hydraulic expansion pump, Storz ureteroscopic dedicated stone clamp. Surgical procedures: Double-tube epidural anesthesia. Patients take lithotomy position,