钬激光碎石术在复杂性输尿管结石的临床应用  

Holmium Laser Lithotripsy in the Complexity of the Clinical Application of Ureteral Calculi

作　　者：钱建荣 陈毅来 邓小虎 黄辉健 

机构地区：[1]新疆克拉玛依市人民医院外科,新疆克拉玛依834000

出　　处：《世界最新医学信息文摘》2012年第5期22-23,25,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨经输尿管镜下实施钬激光治疗复杂性输尿管鲒石的有效性和安全性。方法对67例进行输尿管镜下钬激光碎石的输尿管结石患者资料进行回顾性分析。其中男39例，女28例；年龄28～65岁，平均37岁。输尿管上段结石32例，中段结石11例，下段结石24例。结果全部患者中有65例通过一次钬激光碎石术成功碎石，成功率达97．01％，1例患者出现术中结石移位，于碎石术后进行ESWL治疗；1例结石患者输尿管狭窄无法入镜，中转开放手术。结论在复杂性榆尿管结石治疗采用经输尿管镜钬激光碎石术是安全有效的治疗方法。Objective To study the therapeutic effect and safety of Holmium laser on the endoscopic treatment of ureteral calculi. Methods In 67 cases with ureteroscopic holmium： YAG laser lithotripsy of ureteral calculi pa- tients were retrospectively analyzed. 39 cases were male, 28 were female; aged 28 - 65 years, average 37 years old. Upper ureteral calculi in 32 cases, In the middle of calculus in 11 cases, Stones in the lower segment in 24 cases. In 1 cases the stones in the holmium： YAG laser lithotripsy in renal calices during shift, after treated by ESWL One case experienced open operation because of Ureteral stricture. Results 97.01%（65/67）stones were fragmented in one treatment session. Conclusion The ureteroscopy holmium laser lithotripsy for complex ureter stone safe and effective.

关 键 词：钬激光碎石术 复杂性输尿管结石 安全性 有效性 

分 类 号：R312[医药卫生—基础医学]