输尿管硬镜钬激光治疗输尿管软组织病变56例临床分析  

Clinical analysis of 56 cases with ureteral soft tissue lesions treated with holmium laser via hard ureteral endoscopy

作　　者：倪浩东[1] 唐庆生[1] 奚鹏山[1] 周训荣[1] 夏安乐[1] 杭永贵[1] 潘志华[1] 周晓畏[1] 何斌[1] 朱爱武[1] 黄存东[1] 

机构地区：[1]东台市人民医院泌尿外科,江苏省224200

出　　处：《江苏医药》2013年第2期205-206,共2页Jiangsu Medical Journal

摘　　要：目的探讨输尿管硬镜钬激光治疗输尿管软组织病变的有效性和安全性。方法回顾性分析56例应用输尿管硬镜钬激光治疗的输尿管狭窄或息肉患者资料。结果手术时间20-65min;术后无输尿管穿孔、漏尿及感染等发生。随访2-12个月,48例治愈,治愈率85.7%。5例肾脏积水减轻,输尿管狭窄段较治疗前好转;3例输尿管狭窄治疗无效,肾积水加重,改开放手术治疗后好转。结论输尿管硬镜钬激光治疗输尿管软组织病变是安全、有效、微创的方法。Objective To investigate the effectiveness and safety of treating ureteral soft tissue lesions with holmium laser via hard ureteral endoscopy. Methods Data of 56 cases with ureteral stenosis or polyps treated with holmium laser via hard endoscopy were retrospectively analyzed. Results The surgery took 20-65minutes.There were no cases with ureteral perforation,urine transudation or infection after operation.The patients were followed up for 2-12 months. Fourty-eight cases were cured with a curative rate of 85.7%. The ureteral stenosis was much improved and hydronephrosis was reduced in 5 cases.The ureteral stenosis remained to be severe with increased hydronephrosis in 3 cases,who received open surgery thereafter. Conclusion Treating ureteral soft tissue lesions with holmium laser via hard ureteral endoscopy is effective,microinvasive and safe.

关 键 词：钬激光 输尿管硬镜 

分 类 号：R692[医药卫生—泌尿科学]