输尿管镜下钬激光治疗ESWL后输尿管石街的疗效观察  

Holmium:YAG Laser Lithotripsy Under Ureteroscope for Ureteral Steinstrasse Post-ESWL

作　　者：高鹏[1] 吴忠[1] 姜昊文[1] 丁强[1] 

机构地区：[1]复旦大学附属华山医院泌尿外科,上海200040

出　　处：《临床泌尿外科杂志》2011年第12期925-926,929,共3页Journal of Clinical Urology

摘　　要：目的:评价输尿管镜下钬激光治疗ESWL术后输尿管石街的疗效。方法:对ESWL术后输尿管石街形成的21例患者行输尿管镜下钬激光碎石治疗。结果:21例患者中,19例碎石成功,1个月后复查输尿管石街排出,成功率为90.5%;1例上段输尿管石街部分结石移位至肾盂而再次行ESWL治疗;1例因输尿管上段扭曲和狭窄而改行开放手术。结论:输尿管镜下钬激光治疗ESWL术后输尿管石街成功率高,碎石时间短,安全可靠,操作简单,值得在临床上推广应用。Objective：To evaluate the efficacy of Holmium：YAG laser lithotripsy for ureteral steinstrasse alter extracorporeal shock lithotripsy（ESWL）. Methods.. Holmium：YAG laser lithotripsy was conducted on 21 patients that had developed ureteral steinstrasse post-ESWL. Results： 19 cases were successful, and the ureteral steinstrasse was discharged （success rate of 90.5 %） within one month after the treatment. One case saw Upper ureteral steinstrasse shifted to the pelvis of ureter, and received a second ESWL treatment. Another case had a distorted and narrow upper ureter and changed to open operation. Conclusions： Holmium：YAG laser treatment of ureteral steinstrasse post-ESWL is worthy of clinical application due to its high success rate, short lithotripsy time, high safety and reliability and ease to operate.

关 键 词：输尿管结石 石街 钬激光 输尿管镜 

分 类 号：R693[医药卫生—泌尿科学]