输尿管硬镜钬激光碎石治疗输尿管结石1210例临床分析  

Ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi(Reports of 1210 cases)

作　　者：崔书平[1] 陈文彬[1] 孟宪涛[1] 杜会改[1] 李辉[1] 刘军平[1] 曾博文[1] 

机构地区：[1]中国人民解放军第二六零医院泌尿外科,河北石家庄050041

出　　处：《微创医学》2009年第6期611-613,共3页Journal of Minimally Invasive Medicine

摘　　要：目的总结输尿管镜钬激光碎石治疗输尿管结石的临床经验。方法回顾分析1 210例输尿管镜下使用钬激光治疗输尿管结石患者的资料。结果本组病例碎石成功率97.7%(1182/1210),结石排尽率96.6%(1 169/1 210)。主要并发症为输尿管穿孔9例,黏膜明显裂伤或黏膜下假道24例。结论输尿管镜钬激光碎石术治疗输尿管结石具有微创、安全、高效等优点,可作为中下段和部分上段输尿管结石的首选治疗方法。Objective To evaluate the clinical effect of holmium laser on the treatment of ureteral calculi.Methods We retrospectively analyzed the clinical data of 1210 patients with urethral calculi treated with holmium laser lithotripsy.Results The successful calculi-fragmenting rate was 97.7%（1 182/1 210） and the stone-free rate was 96.6%（1 169/1 210）.The main complications were ureteral perforation in 9 and ureteral stenosis in 24.Conclusion Treatment of ureteral calculi by ureteroscopic holmium laser lithotripsy has been safe,effective and less invasive,and should be the first choice to patients with lower,middle and partial upper ureteral stones.

关 键 词：输尿管结石 输尿管镜 钬激光 

分 类 号：R693.4[医药卫生—泌尿科学]