NForce取石网篮联合钬激光治疗输尿管结石71例

目的 评价NForce取石网篮联合输尿管镜钬激光碎石在输尿管镜碎石中的应用效果.方法 回顾分析2018-06至2020-07医院收治的输尿管镜碎石术联合NForce取石网篮治疗的71例患者的临床资料,平均(45.80±11.99)岁,结石径线(13.05±4.30)mm,最大结石径线27.97 mm,结石表面积(66....

Clinical application of NForce stone retrieval baskets combined with holmium laser in the treatment of 71 cases of ureteral calculi

Objective To evaluate the applicability of NForce stone extraction baskets combined with ureteroscopic holmium laser lithotripsy in ureteroscopic lithotripsy. Methods The clinical data on 71 patients who underwent ureteroscopic lithotripsy combined with NForce stone extraction baskets was collected in Hospital 904 of Joint Logistic Support Force of PLA between June 2018 and July 2020. The average age of these patients was (45.80±11.99) years old. the average diameter of stones was (13.05±4.30)mm, the maximum diameter was 27.97 mm, the average surface area was (66.86±60.04)mm², and the CT average value was (447.68±286.50)HU. All the operations were performed by the same surgeons. Patients whose postoperative follow-up KUB showed that the diameter of the stone was <4 mm and who were asymptomatic were considered cases of complete stone clearance. Finally, the stone clearance rate and incidence of complication of these patients were analyzed. Results All the operations were successful, and the primary stone clearance rate was 93.0%. Two patients had ureteral perforation. Moreover, two patients had nitinol wire breakage, one of whom was treated with translumbar ureterotomy for foreign body removal and the other with ureteroscopic foreign body clamp removal. By prolonging the double J tube time, no ureteral stenosis was found during subsequent visits. Conclusions The NForce stone basket combined with ureteroscopic holmium laser lithotripsy is highly effective and safe, which is a reliable approach to ureteral calculi.