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目的探讨分析重复输尿管畸形合并上尿路结石应用输尿管软镜钬激光碎石的治疗效果。方法选取我院2013年1月~2014年4月收治的重复输尿管畸形合并上尿路结石患者20例,对应用输尿管软镜钬激光碎石治疗后的临床资料进行回顾性分析,并对其进行3~16个月的随访,观察其治疗效果。结果 18例患者软镜下碎石成功,住院时间为40~90 min,平均住院时间(58.6±4.1)min。另外2例患者,由于输尿管狭窄,经扩张后仍不能置入输尿管软镜鞘,选择经皮肾镜碎石手术治疗。20例患者术后1个月的结石排净率为95%。结论对重复输尿管畸形合并上尿路结石患者,采用输尿管软镜钬激光碎石进行治疗较为安全,具有良好的治疗效果。
Objective To investigate the effect of ureteroscopic holmium laser lithotripsy on ureteral calculi complicated with upper urinary tract calculi. Methods Twenty patients with recurrent ureteral deformity and upper urinary tract calculi admitted from January 2013 to April 2014 in our hospital were retrospectively analyzed and analyzed retrospectively after treatment with ureteroscopic holmium laser lithotripsy 3 to 16 months of follow-up, observe the treatment effect. Results 18 patients underwent soft-lens lithotripsy successfully, the hospitalization time was 40-90 min, and the average length of hospital stay was (58.6 ± 4.1) min. The other 2 patients, due to ureteral stricture, after expansion can not be placed in the ureteroscope sheath, select percutaneous nephrolithotomy surgery. The stone clearance rate of one month after operation in 20 patients was 95%. Conclusions For patients with ureteral calculi complicated with upper urinary tract calculi, ureteroscopic holmium laser lithotripsy is safe and has good therapeutic effect.