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目的:探讨输尿管镜钬激光碎石术治疗输尿管结石的有效性及安全性。方法:114例输尿管结石患者,置入输尿管镜到达结石处,使用钬激光击碎结石,常规留置双J管4-12周。术后复查腹部平片。所有患者随访4-6个月。结果:114例患者的总清石率为85.96%(98/114),无严重并发症。所有患者随访4-6个月,彩超提示结石无复发,肾积水均改善。结论:输尿管镜下钬激光技术治疗输尿管结石是安全、有效的。
Objective: To investigate the effectiveness and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods: 114 patients with ureteral calculi, ureteroscopy into the stones, the use of holmium laser crushed stones, routine indwelling double J tube 4-12 weeks. Postoperative abdominal plain film review. All patients were followed up for 4-6 months. Results: The total clear stone rate of 114 patients was 85.96% (98/114), no serious complications. All patients were followed up for 4-6 months, color Doppler ultrasound showed no recurrence of stones, hydronephrosis were improved. Conclusions: Ureteroscopic holmium laser treatment of ureteral calculi is safe and effective.