摘 要：目的：探讨输尿管镜下气压弹道碎石加ESWL治疗肾铸形结石的临床疗效和操作体会。方法：自2001年3月至2004年3月采用输尿管镜下气压弹道碎石、ESWL联合治疗肾铸形结石76例。结果：结石排净率为89.5%，并发症发生率1.3%，结论：采用此联合方法治疗肾铸形结石的排净率较高、方法安全、效果确切、损伤小，能有效避免开放性手术的痛苦。

    关键词： 输尿管镜； 肾铸形结石； 碎石术

    Pneumaticlithortripsy under Ureteroscope and Extracorporeal Shork wave lithortripsy in the treatment of kidney staghorn calculi

    HUANG Hai-wen, YANG Shui-hua, WU Hong, et al

    (Department of Urology,Central People’s Hospital of Zhanjiang, Guangdong Zhanjiang 524037, China)

    Abstract： Objective： To evaluate the combination use of Pneumatic Lithortripsy,ureteroscope and extracorporeal shork wave lithotripsy in the treatment of kidney staghorn calculi. Method： Between March 2001 to March 2004,76 patients with kidney staghorn calculi were treated with abovementioned treatment. Result： Total stone-free rateis 89.5%. Complications were observed in 1.3%. Conclusion： Treatment of kidney staghorn calculi with this combined method has been high stone- tree rate、safe、effective,less invasive and avoid open surgery. ......