硬性输尿管镜钬激光碎石术治疗输尿管结石效果观察

目的:探讨硬性输尿管镜钬激光碎石术治疗输尿管结石的疗效和安全性。方法:回顾分析我院2007年2月～2009年3月应用硬性输尿管镜下钬激光治疗输尿管结石51例的临床资料。结果:单次碎石成功49例,失败2例,成功率为96.1%。平均手术时间为40min,平均术后住院天数为3d,术后5例出现肉眼血尿,3例出现轻度发热,经对症处理后症状消失。术后随访8周结石排净率为98.0%(50/51),随访12w结石排净率为100%。结论:硬性输尿管镜钬激光碎石术治疗输尿管结石安全可靠,损伤小、疗效好、恢复快、并发症少、住院时间短。可用于中、下段输尿管结石的首选治疗方法。尤适宜于年老体弱患者。

Clinical Effect Observation of Rigid ureteroscopic holmium laser lithotripsy for ureteral calculi

Objective:To discuss of the efficacy and safety of rigid ureteroscopic holmium laser lithotripsy for ureteral cal-culi.Methods:The clinical data 51 cases of ureteral calculi with holmium laser in our hospital in February 2007-2009 in March under the application of rigid ureteroscopy were retrospectively analyzed. Results:The success of a single stone was 49 cases,2 cases of failure, success rate was 96.1%. The mean operative time was 40min, the average number of days of postoperative hospitali-zation was for the 3d, after five cases of gross hematuria appear, 3 cases of mild fever, the symptoms disappeared after illness. Follow-up eight weeks ,the net emission rate of stones was 98.0% (50/51),12-week follow-up,stones platoon net rate was 100%. Conclusion:Rigid ureteroscopy with holmium laser lithotripsy for ureteral calculi is safe, reliable, has lower injury and good efficacy, quick recovery, fewer complications, shorter hospital stay, Which cCan be used in the treatment of middle and lower ureteral stones of choice, particularly suitable for frail elderly patients.