钬激光治疗泌尿系结石

目的 探讨输尿管镜钬激光治疗输尿管结石的有效性和安全性。方法采用输尿管镜钬激光技术治疗168例输尿管结石,其中输尿管上段结石27例,中段结石33例,下段结石108例;经尿道膀胱镜钬激光技术治疗膀胱结石12例。术后4～6周复查计算各自结石排净率(排净例数／例数)。结果输尿管上、中、下段结石的排净率分别为93％(25／27)、94％(31／33)、94％(102／108),并发症为5％(8／168);而膀胱结石的排净率为100％,无并发症。结论输尿管镜钬激光是治疗输尿管结石的有效、安全方法。

Ureteroscopic holmium: YAG laser lithotripsy for managing urinary tract calculi

Objective To evaluate the effectiveness and safty of ureteroscopic holmium:YAG laser lithotripsy for managing ureteral calculi. Methods Ureteroscopic holmium:YAG laser lithotripsy was used in 168 ureteral calculi (proximal 27 cases,middle 33 cases,distal 108 cases).Transurethral cystoscopic holmium:YAG laser lithotripsy in 12 bladder calculi. Results Four to six weeks after operation,The stone-free rate was 93%(25/27) in the proximal ureteral calculi,94%(31/33) in the middle ureteral calculi,94%(102/108) in the distal ureteral calculi,respectively.The complication rate was 5% (8 cases).the stone-free rate of bladder calculi was 100%(12/12),no complication. Conclusion Ureteroscopic holmium:YAG laser lithotripsy is a highly effective and safe treatment modality for managing ureteral calculi.