兴国县输尿管镜下钬激光碎石术治疗输尿管结石490例临床分析  

Ureteroscopic Holmium Laser Lithotripsy for Ureteral Calculi:an Analysis of 490 Cases in Xingguo Country

作　　者：陈静华[1] 谢芳林[2] 肖贵林[2] 吴磊[3] 黄国梅[4] 

机构地区：[1]南昌大学研究生院医学部,2015级江西兴国342400 [2]兴国县人民医院泌尿外科,江西兴国342400 [3]南昌大学公共卫生学院流行病学教研室 [4]南昌大学医院感染管理科,江西兴国342400

出　　处：《南昌大学学报（医学版）》2016年第5期4-5,9,共3页Journal of Nanchang University：Medical Sciences

基　　金：国家科技惠民计划项目(2013GS360101)

摘　　要：目的探讨使用钬激光碎石术治疗泌尿系结石的疗效及安全性。方法对2013年8月至2016年7月在兴国县人民医院经输尿管镜下钬激光碎石技术治疗的490例(男315例,女175例;输尿管单侧结石398例,双侧结石92例;输尿管上段结石310例,中段结石107例,下段结石73例)输尿管结石患者的临床资料进行回顾性分析。结果使用输尿管镜钬激光技术治疗输尿管结石的一次碎石成功率为92.04%(451/490),其中有39例(7.96%)发生并发症:结石进入肾内29例,脓毒血症3例,严重血尿3例,尿外渗2例,输尿管黏膜撕脱和输尿管狭窄各1例;痊愈38例,死亡1例。结论兴国县人民医院引进的钬激光碎石术治疗泌尿系结石具有创伤小、安全、高效且并发症较少的特点。Objective To investigate the efficacy and safety of ureteroscopic holmium： YAG laser lithotripsy in the treatment of ureteral calculi. Methods Clinical data of 490 patients with ureteral calculi （315 males and 175 females） who received ureteroscopic holmium：YAG laser lithotripsy between August 2013 and July 2016 in Xingguo People＇s Hospital were analyzed retrospectively. Among them, 398 had unilateral ureteral calculi, 92 had bilateral ureteral calculi, 310 had upper ureteral calculi, 107 had middle ureteral calculi,and 73 had lower ureteral calculi. Results The success rate for first attempt lithotripsy was 92.04% （451/490）. Complications occurred in 39 patients （7. 96%）,included movement of stones into kidney in 29, sepsis in 3, severe hematuria in 3, urinary extravasation in 2, ureteral mucosal avulsion in 1, and ureteral stricture in 1 ;Cured 38 cases,death in 1 case. Conclusion Ureteroscopic holmium：YAG laser lithotripsy is minimally in- vasive,safe and effective for treating ureteral calculi and results in fewer complications.

关 键 词：输尿管镜 输尿管结石 钬激光碎石 并发症 兴国 江西 

分 类 号：R693.4[医药卫生—泌尿科学]