输尿管镜钬激光碎石术治疗输尿管结石

Clinical application of Holmium laser in the treatment of ureteral calculi

目的探讨输尿管镜钬激光碎石术治疗输尿管结石的疗效。方法采用输尿管镜钬激光碎石术治疗输尿管结石治患者43例,其中2例为ESWL后输尿管石街形成。结果43例中,一次性碎石成功40例,占93.1%,碎石失败3例,占6.9%。其中2例输尿管上段结石移位至肾盂,留置双J管后ESWL治愈。无输尿管穿孔,1例进镜失败者改行开放手术治愈。结论输尿管镜钬激光碎石术治疗输尿管结石具有微创、安全、效果好等优点,可作为中下段结石的首选治疗方法。

Objective To evaluate the clinical effect Holmium laser on the treatment of ureteral calculi. Methods 43cases of ureteral calculi were lreated with ureteroscope Holmium laser lithotripsy.There were 2 cases of ureteral stone steps after ESWL, Results 43cases of ureteral stones were lreated by ureteroscopic lithotriphy, of which 93. 1% （40/43） were fragmented on the first lreatment session and 6.9% （3/43） were tmsuccessul. 2 of the upper ureteral calculi was moved to renalpelvic and cured by ESWL after the double - J tube was placed. Conclusion Treamaent of ureteral calculi by ureteroscope Holminm laser lithotripsy has been less invasive, safe and effective, and should be the first choice to patients with middle and low ureteral stones.