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目的探讨混合动力碎石清石系统治疗膀胱结石和输尿管结石的疗效方法2010年5月～2012年8月,经尿道置WOLFF20.8肾镜或WOLF8/9.8F100硬性输尿管镜,采用瑞士EMS公司第4代气压弹道联合超声碎石清石系统治疗膀胱结石43例及输尿管结石153例。膀胱结石43例(男39例,女4例),其中合并前列腺增生31例,输尿管上段结石32例,输尿管中下段结石121例。结果 187例一次碎石、清石成功,2例膀胱结石较大手术时间较长分两次碎石成功,3例输尿管上段结石进入肾盂未能碎石,4例输尿管狭窄输尿管镜未能通过。碎石成功率95%,结石排净率93.4%。无一例出现尿道狭窄、感染、大出血、输尿管撕脱等严重并发症。随访6～28个月,B超或X线腹部平片检查未见结石复发。结论混合动力碎石清石系统治疗膀胱结石和输尿管结石的疗效满意。
Objective To investigate the efficacy of hybrid gravel stone system in the treatment of bladder stones and ureteral calculi Methods From May 2010 to August 2012, WOLFF20.8 nephrolithiasis or WOLF8 / 9.8F100 ureteroscope was transurethral combined with Swiss EMS Company No. 4 generations of pneumatic ballistic lithotripsy combined ultrasound lithotripsy treatment of bladder stones in 43 cases and 153 cases of ureteral calculi. Bladder stones in 43 cases (39 males and 4 females), of which 31 cases of benign prostatic hyperplasia, upper ureteral stones in 32 cases, 121 cases of proximal ureteral stones. Results A total of 187 cases of primary lithotripsy were successfully performed with clear stones. Two cases with longer operation time of bladder stones were successfully treated with two gravels. Three cases of upper ureteral stones failed to enter the renal pelvis and four cases of ureteral stricture ureteroscopy failed to pass through. Gravel success rate of 95%, stone clearance rate of 93.4%. No case of urethral stricture, infection, bleeding, ureteral avulsion and other serious complications. Follow-up 6 to 28 months, B ultrasound or X-ray examination of abdominal plain film no recurrence of stones. Conclusion The hybrid gravel clear stone system is effective in treating bladder stones and ureteral calculi.