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目的:探讨输尿管镜钬激光治疗输尿管中、下段结石的方法与技巧。方法:2008年3月~2014年3月采用输尿管镜钬激光治疗输尿管中、下段结石360例,其中男203例,女157例,平均年龄46.7岁。结果:一次手术成功率为96.1%,手术时间25~95 min,平均42 min。术后3个月输尿管闭锁1例,行开放输尿管吻合术治愈。2例术后狭窄行输尿管镜钬激光内切开治愈。余均未出现输尿管断裂、撕脱等并发症。术后平均住院时间4.6天。结论:输尿管镜钬激光治疗输尿管中、下段结石安全、创伤小、恢复快,掌握好输尿管镜的使用方法及技巧能提高碎石效率及成功率。
Objective: To investigate the methods and techniques of ureteroscopic holmium laser for the treatment of lower and middle ureteral calculi. Methods: March 2008 ~ March 2014 ureteroscopic holmium laser treatment of ureteral stones in the lower 360 cases, including 203 males and 157 females, with an average age of 46.7 years. Results: The success rate of one operation was 96.1% and the operation time was 25 to 95 minutes with an average of 42 minutes. One case of ureter atresia in 3 months after operation was cured by open ureteral anastomosis. Two cases underwent ureteroscopic holmium laser laser incision to cure. I did not appear more than ureter rupture, avulsion and other complications. The average postoperative hospital stay 4.6 days. Conclusion: Ureteroscopic holmium laser treatment of ureteral stones, the lower part of the stone safe, small trauma, rapid recovery, master the use of ureteroscopy and techniques can improve the efficiency and success rate of lithotripsy.