输尿管镜钬激光碎石术治疗输尿管结石568例临床观察  

Therapeutic effects of ureteroscopic holmium laser lithotripsy in treating 568 ureteral calculi cases

作　　者：郭峰[1] 高兴华[1] 刘双庆[1] 吴衍麟[1] 黄忠献[1] 林耘[1] 张龙洋[1] 

机构地区：[1]济南山东大学附属济南市中心医院泌尿外科,山东250013

出　　处：《国际泌尿系统杂志》2013年第1期25-27,共3页International Journal of Urology and Nephrology

基　　金：济南市科技局资助项目（2005-6-051065）

摘　　要：目的探讨输尿管镜钬激光碎石术治疗输尿管结石的疗效、安全性及影响因素。方法匝颐性分析2008年3月至2012年1月应用输尿管镜钬激光碎石术治疗输尿管结石568例，评价手术疗效、安全性，分析影响因素。结果一期碎石成功率为98．42％（559／568），其中上段结石成功率89．09％（49／55），中段结石成功率98．94％（187／189），下段结石成功率99．69％（323／324）。手术时间（25．6±10．3）min。术中未出现严重并发症。结论输尿管镜钬激光碎石术治疗输尿管结石是一种安全有效迅速的方法。结石部位、输尿管狭窄或扭曲、结石移位是影响手术结果的主要因素。Objectives To evaluate the efficacy, safety and influencing factors of ureteroscopic holmium la- ser lithotripsy in treating ureteral calculi. Methods We retrospectively reviewed the data of 568 patients from March 2008 to January 2012 who underwent ureteroscopic holmium laser lithotripsy, and evaluate the efficacy, safety and influencing factors. Results The overall success rate of fragmentation for all levels of ureteral calculi in a sin- gle procedure was 98.42% （559/565）. Among which , the success rate was 89.09% （49/55） in upper ureter,98. 94% （187/189） in middle ureter,and 99.69% （323/324） in lower ureter. The mean operative time was （25.6 4- 10.3 ）rain. No severe complications occurred during the operation. Conclusions Ureteroseopic holmium laser lithotripsy is a highly effective and safe therapy for patients with ureteral calculi. The site of ureteral calculi, the stric- ture or twist of ureter and the shift of ureteral calculi are the factors influencing the the operation.

关 键 词：输尿管结石 碎石术 激光 钬 输尿管镜检 

分 类 号：R699.4[医药卫生—泌尿科学]