输尿管镜下钬激光碎石术治疗输尿管结石后出现输尿管狭窄原因分析  

作　　者：钟华 廖开森[2] 王斌 谢波[4] 张心男[4] 

机构地区：[1]新疆温宿县人民医院,843100 [2]浙江中医药大学,310053 [3]浙江金华中心医院,321000 [4]浙江省立同德医院,310012

出　　处：《浙江临床医学》2018年第5期868-869,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 分析输尿管镜下钬激光碎石术治疗输尿管结石后出现输尿管狭窄的原因.方法 回顾2016年9月至2017年9月643例行输尿管镜下钬激光碎石治疗的输尿管结石患者的临床资料,分析术后输尿管狭窄的可能原因.结果 术后出现输尿管狭窄患者42例.导致输尿管狭窄的原因有：病程〉3个月、巨大结石、多发结石、嵌顿结石伴有息肉、碎石时间长、钬激光损伤黏膜.结论 对于嵌顿时间长的结石、巨大结石、多发结石、伴有息肉结石行钬激光碎石时,应注意手术操作对输尿管的损伤,预防术后输尿管狭窄的发生.Objective To study the causes ofureteral stricture after ureteroscopy holmium laser lithotripsy. Methods The clinical data ofureteral calculi treated with ureteroscopic holmium laser lithotripsy from September 2016 to September 2017 in Zhejiang provincial hospitals and Wensu county people＇s hospital of Xinjiang were reviewed. The possible causes of postoperative ureteral stricture were analyzed. Results There were 42 cases with ureteral str/cture after surgery. The causes of ureteral stricture included： duration〉 3 months, large stones, multiple nephrolithiasis, incarcerated stones with polyps, long time oflithotripsy, and holmium laser mucosal injury. Conclusion For stones with long incarceration time, huge stones, multiple stones, stone line of holmium laser lithotripsy with polyp, should pay attention to the operation of ureteral injury and prevent the occurrence of the postoperative ureteral stricture.

关 键 词：输尿管镜 钬激光 输尿管结石 输尿管狭窄 多因素分析 

分 类 号：R692.7[医药卫生—泌尿科学]