输尿管镜钬激光结合气压弹道碎石术治疗输尿管结石232例报道

Treatment of ureteral stones by pneumatic lithotripsy combined with Holmium:YAG laser lithotripsy (report of 232 cases)

目的探讨输尿管镜钬激光结合气压弹道碎石术的有效性、安全性和优越性。方法输尿管镜钬激光结合气压弹道碎石术治疗输尿管结石232例。结果232例患者中碎石成功率为89.9%,平均手术时间30.2min,术后1个月复查结石排净率90.2%,其中输尿管下段结石为96.4%,中段结石为92.3%,上段结石为69.2%,术中术后未发生大出血、狭窄等严重并发症。结论输尿管镜钬激光结合气压弹道碎石治疗输尿管结石安全有效,结石粉碎率高,排净率高,且操作时间更短,较之单一钬激光或气压弹道碎石更为优越。

[Objective] To explore the therapeutic effect, safety and superiority of pneumatic lithotripsy combined with Holmium laser lithotripsy in 232 cases with ureteral stones. [Methods] Pneumatic lithotripsy combined with Holmium laser lithotripsy was employed in the treatment of 232 cases with ureteral stones. [Results] Of the 232 cases, the cure rate was 89.9%. Mean operation time was 30.2 minute. The overall successful stone fragmention rate of urinary calculi was 90.2%. No severe intraoperative or long-term complications occurred. [Conclusions] Pneumatic lithotripsy combined with Holmium laser lithotripsy offers a more effective, safty and speedy means than a single lithotripsy method.