输尿管镜钬激光治疗上段输尿管结石96例报告

目的探讨输尿管镜治疗上段输尿管结石的有效性和安全性。方法采用输尿管镜钬激光碎石术治疗96例上段输尿管结石,观察碎石的成功率、手术时间、术后住院天数、结石排净时间及术后并发症。结果96例输尿管结石患者一次手术结石粉碎率为95.8%(92例),平均手术时间和术后住院天数分别为(23±13)min及2d,平均结石排净时间为(2.2±1.3)周。术中无输尿管穿孔、撕裂等严重并发症。结论只要能掌握正确的技术,输尿管镜钬激光治疗上段输尿管结石是有效、安全的方法。

Ureteroscopic Holmium Laser Lithotripsy in Treatment of Proximal Ureteral Calculi in 96 Patients

Objective To evaluate the effectiveness and safety of ureteroscopie holmium:YAG laser lithotripsy in treatment of proximal ureteral calculil.Methods Uretemscopic holmium:YAG laser lithotripsy was used in 96 patients with proximal ureteral calculi.The successful rate,operation time,hospital time after operation,calculi evacuation time and complication were recorded.Results The successful ratewas 95.8%,average operation time was 23+13 min,the average hospital time afteroperation was 2 days and the average calculi evacuation duration was 2.2±1.3 weeks.No severe complications such as perforation and laceration of ureter occurred.Conclusion Ureteroscopic holmimium YAG laser lithotdpsy is an effective and safemethod in treatment of proximal ureteral calculil.