作者：汤文鑫 宋平 易东生 李栋 方锦川

【摘要】  目的  总结输尿管镜气压弹道碎石治疗输尿管结石的临床效果。方法  回顾分析32例应用输尿管镜气压弹道碎石治疗输尿管结石患者资料。男10例，女22例；平均年龄29岁。结石位于输尿管下段24例，中段6例，上段2例。其中行原位体外冲击波碎石（ESWL）治疗后结石未能排出者8例。结果  碎石成功率90.6%（29/32）。2例因输尿管异常置镜失败，转开放性手术；1例输尿管穿孔后留置双J管，择期行ESWL治疗成功。B超显示肾积水较术前减轻或消失，KUB、IVP未发现输尿管狭窄。结论  输尿管镜气压弹道碎石治疗输尿管结石创伤小、成功率高、并发症少。

    【关键词】  输尿管结石；内镜检查
 
    Transureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi:a report of 32 cases

    【Abstract】  Objective  To summarize the clinical effects of transureteroscopic pneumatic lithotripsy in the treatment of ureteral calculi.Methods  Retrospective analysis was made on 32 cases of ureteral calculi treated by transureteroscopic pneumatic lithotripsy.There were 10 male patients and 22 female with an average age of 29 years.Lower ureteral,middle and upper ureteral calculi were 24,6 and 2 respectively.8 out of the 32 cases were failed in the treatment of ESWL.Results  The success rate was 90.6%(29/32).It failed to insert the ureteroscope in 2 cases because of their abnormal ureter,and turned to operation.Ureteral perforation happened in 1 case which was left double J tube and ……