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目的:探讨筋膜扩张器配合输尿管镜钬激光在女性中下段输尿管结石中的临床应用价值。方法:对56例女性中下段输尿管结石患者,采用筋膜扩张器扩张输尿管,通过Peel-away塑料薄膜鞘行输尿管镜钬激光碎石术。结果:56例患者中,一次性碎石成功52例(93%),4例(7%)患者有碎石块被冲入肾盂,行ESWL治愈,同时以钬激光处理输尿管息肉或肉芽组织28例,手术时间平均30~40min,未出现结石残留或严重并发症。结论:临床应用筋膜扩张器配合输尿管镜钬激光治疗女性中下段输尿管结石能明显缩短手术时间,降低手术风险,提高结石清除率,减少了术后感染、疼痛等并发症,减轻患者痛苦,术后恢复更快。
Objective: To investigate the clinical value of fascial dilator combined with ureteroscopic holmium laser in the treatment of ureteral calculi in women. Methods: 56 patients with ureteral calculi in the lower ureter, the use of fascia dilator expansion ureter, plastic sheath by Peel-away ureteroscopic holmium laser lithotripsy. RESULTS: Among the 56 patients, 52 cases (93%) were successful in one-off grafting and 4 (7%) patients were crushed into the renal pelvis with ESWL and were treated with holmium laser for ureteral polyp or granulation tissue 28 For example, the average operation time 30 ~ 40min, no residual stones or serious complications. Conclusion: The clinical application of fascia dilator combined with ureteroscopic holmium laser treatment of ureteral stones in the lower ureter can significantly reduce the operation time, reduce the surgical risk and improve the rate of stone removal, reduce postoperative infection, pain and other complications, reduce patient pain, surgery Post-recovery faster.