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输尿管镜下钬激光治疗输尿管结石的临床研究
引用本文:李勇,陈在贤. 输尿管镜下钬激光治疗输尿管结石的临床研究[J]. 重庆医学, 2017, 46(26). DOI: 10.3969/j.issn.1671-8348.2017.26.023
作者姓名:李勇  陈在贤
作者单位:1. 重庆市红十字会医院/江北区人民医院泌尿外科 400020;2. 重庆医科大学附属第一医院泌尿外科,重庆,400016
摘    要:目的 探讨输尿管镜下钬激光碎石术治疗输尿管结石疗效的影响因素.方法 选择2012年2月至2015年12月该科收治的输尿管结石行输尿管镜下钬激光碎石术治疗的患者,共计274例,观察治疗效果和并发症等情况,并分析临床参数与手术成功率的关系.结果 输尿管镜下钬激光碎石术一次性成功率为95.25%,未出现严重并发症.274例病例中,成功组和不成功组是否合并息肉,结石大小,输尿管是否合并狭窄,住院时间,手术时间和术后留置导尿时间等方面比较差异有统计学意义(P<0.05).结论 输尿管镜下钬激光碎石术治疗输尿管结石疗效好,成功率高.

关 键 词:输尿管镜取石术  钬激光  输尿管结石  碎石术

Clinical research of ureteroscopic holmium laser lithotripsy in treating ureteral calculus
Li Yong,Chen Zaixian. Clinical research of ureteroscopic holmium laser lithotripsy in treating ureteral calculus[J]. Chongqing Medical Journal, 2017, 46(26). DOI: 10.3969/j.issn.1671-8348.2017.26.023
Authors:Li Yong  Chen Zaixian
Abstract:Objective To explore the effect influencing factors of ureteroscopic holmium laser lithotripsy in treating ureteral calculus.Methods A total of 274 cases of ureteral calculus in our hospital from February 2012 to December 2015 were selected.The treatment effects and complications were observed,and the relationship between clinical parameters and operation success rate was analyzed.Results The one-time successful rate of ureteroscopic holmium laser lithotripsy was 95.25%,no serious complications occurred.Among 274 cases,there was correlation in the aspects of whether complicating polyps,calculus size,whether complicating ureteral stenosis,hospitalization duration,operation time and postoperative indwelling catheter time in the success group and non-success group (P<0.05).Conclusion The ureteroscopic holmium laser lithotripsy in treating ureteral calculus has good effect and high successful rate.
Keywords:ureteroscopy  holmium laser  ureter  lithotripsy
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