【摘要】 目的 对412例经输尿管镜治疗输尿管结石的资料进行回顾性分析，以探讨治疗输尿管结石的方法。 方法 采用直接进镜法对412例输尿管结石患者进行经输尿管镜碎石和取石治疗。 结果 412例患者经输尿管镜成功取出结石372例，成功率为90.3%;中下段结石治疗后排出，6例入镜失败而改行开放手术治疗。 结论 输尿管镜取石术是治疗输尿管结石尤其是中下段输尿管结石的重要手段。在输尿管导管引导下，采用直接进镜法，术后留置输尿管导管，可提高取石成功率，降低并发症。

    关键词 输尿管镜 输尿管结石

    Treatment of ureterolithiasis with ureteroscope:a report of412cases

    Wang Zhuhong

    Nanhai Lishui Hospital of Foshan，Guangdong528244.

    【Abstract】 Objective To sum up the experience in the treatment of ureterolithiasis with ureteroscope.Meth-ods From Jan.2001to Jan.2005，412patients with ureterolithiasis were treated lithotripsy of ureteroscope.Results 372of412patients(90.3%)were successfully treated with lithotripsy of ureteroscope.The proximal ureteral calculi were moved to renal pelvic and cured by ESWL in6cases.Open surgery was the choice after the failure of inserting the ureteroscope in6cases.Conclusion Lithotripsy of ureteroscope is one of the effective methods in the treatment

    of ureterolithiasis ......