输尿管镜下钬激光碎石术治疗输尿管结石疗效与安全性分析  

Analysis of the efficacy and safety of ureteroscopic holmium laser lithotripsy for ureteral calculi

作　　者：程波[1] 姜睿[1] 程勇[1] 杨海帆[1] 何启丹[1] 

机构地区：[1]泸州医学院附属医院泌尿外科,四川泸州646000

出　　处：《泸州医学院学报》2014年第2期137-139,共3页Journal of Luzhou Medical College

摘　　要：目的：分析输尿管镜下钬激光碎石术治疗输尿管结石的疗效与安全性。方法：回顾性分析输尿管镜下钬激光碎石术治疗327例输尿管结石患者的临床资料。结果：327例患者（共339侧）中,单次碎石成功率为89.97%（305/339）,其中,上段结石碎石成功率为65.96%（31/47）、中段结石碎石成功率86.05%（74/86）、下段结石碎石成功率为97.09%（200/206）。手术时间为15～75 min,术中未发生输尿管穿孔、黏膜撕脱等并发症,术后住院时间为2～5 d。术后2周、1月、3个月复查分别有5例、1例及0例结石残留,结石排净率分别为98.53%、99.71%和100%。所有患者肾积水情况明显减轻或消失。结论：输尿管镜下钬激光碎石术治疗输尿管结石是一种安全、有效的方法,可以作为治疗输尿管结石的首选方法。Objective： To analyze the efficacy and safety of ureteroscopic holmium laser lithotripsy for ureteral calculi. Method： The clinical data of 327 cases of ureteral calculi treated by ureteroscopic holmium laser lithotripsy were retrospectively analyzed. Results： Among the 327 patients（339 sides）,the success rate was 89.97 %（305 /339）,including the upper 65.96 %（31/47）, the middle 86.05 %（74/86）,and the lower ureteral stone lithotripsy 97.09 %（200/206）. Operation time was 15 ～75 min. No serious intraoperative complications such as ureteral rupture or mucosal avulsion occurred; postoperative hospital stay was 2～5 days. The residual stones after 2 weeks, 1 month and 3 months were 5, 1 and 0 cases,and the lithagogue rates were 98.53%, 99.71% and 100% respectively. Hydronephrosis in all cases significantly reduced or disappeared. Conclusion： Ureteroscopic holmium laser lithotripsy for ureteral calculi is a safe and effective method, which can be used as the preferred method for the treatment of ureteral calculi.

关 键 词：输尿管结石 输尿管镜 钬激光碎石术 

分 类 号：R616.4[医药卫生—外科学]