论文部分内容阅读
目的探讨输尿管镜钬激光碎石治疗输尿管结石的有效性和安全性。方法对450例进行输尿管镜下钬激光碎石的输尿管结石患者资料进行回顾性分析。男265例,女185例,年龄19~80岁,平均41岁。输尿管上段结石130例,中下段结石320例,结石最大2.2 cm×1.2cm,最小0.6 cm×0.4cm。结果 320例输尿管中下段结石312例单次碎石成功,成功率97.5%,130例输尿管上段结石110例原位单次碎石成功,成功率为86.2%。20例结石回漂至肾内留置双J管后改行ESWL成功碎石。平均手术时间34min。没有输尿管黏膜严重穿孔撕脱等并发症发生,术后平均住院时间3.1d。术后平均随访3个月,结石排净率98%(441/450)。结论输尿管镜钬激光碎石治疗输尿管结石高效安全,可作为输尿管结石,尤其是中下段结石的首选治疗方法。
Objective To investigate the efficacy and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods A retrospective analysis of 450 patients with ureteral stones undergoing ureteroscopic holmium laser lithotripsy was performed. There were 265 males and 185 females, aged 19-80 years old with an average age of 41 years. Upper ureteral stones in 130 cases, 320 cases of stones in the lower, the largest stone 2.2 cm × 1.2cm, the smallest 0.6 cm × 0.4cm. Results A total of 312 cases of middle and lower ureteral stones were successfully treated with single gravel, the success rate was 97.5%. The success rate of the 110 cases of primary ureteral calculi was 130.2%. The success rate was 86.2%. 20 cases of stone back to the kidney left double J tube after the transfer of ESWL success gravel. The average operation time 34min. No ureteral mucosa serious perforation avulsion and other complications occurred, the average postoperative hospital stay 3.1d. After an average follow-up of 3 months, the stone removal rate was 98% (441/450). Conclusion Ureteroscopic holmium laser lithotripsy for the treatment of ureteral stones efficient and safe, can be used as ureteral stones, especially the preferred treatment of stones in the lower.