输尿管软镜钬激光碎石术治疗上尿路结石疗效分析

目的 探讨输尿管软镜钬激光碎石术治疗上尿路结石的疗效。方法 回顾性分析131例上尿路结石患者应用输尿管软镜钬激光碎石术的治疗效果。结果 130例患者顺利完成输尿管软镜钬激光碎石术,术后复查无明显结石残余126例(96.9%),手术时间为30~150 min,术后平均住院天数为2 d。未出现输尿管穿孔、撕脱、大出血、脓毒血症等严重并发症。结论 输尿管软镜钬激光碎石术对上尿路结石的诊治是安全、有效的,尤其对于体外冲击波碎石失败或经皮肾镜取石困难的上尿路结石的治疗有独特优势,可作为临床首选治疗方法之一。

Application of flexible ureteroscopy in treatment of upper urinary tract stones

Objective To evaluate the safety and efficacy of flexible ureteroscopic technology in the treatment of upper urinary tract stones. Methods A retrospective analysis was performed in 131 cases diagnosed with upper urinary tract stones using flexible ureteroscope. Results All 130 cases accepted holmium laser lithotripsy. No significant residual stones were found in 126 cases(96.9%). The mean operative time was 30~150 min, and the mean postoperative hospital stay was 2d. No ureteral perforation, avulsion, severe bleeding, urosepsis and other serious complications appeared. Conclusion The flexible ureteroscopy for diagnosis and treatment of upper urinary tract diseases is safe and effective, especially for failure of extracorporeal shock wave lithotripsy or high-risk of percutaneous nephrolithotomy, which could be used as one of the preferred clinical treatment options.