输尿管镜联合钬激光碎石术治疗输尿管膀胱壁段结石(附36例报告)

Transureteroscopic holmium laser lithotripsy for ureteral calculi in wall of urinary bladder

目的探讨输尿管镜钬激光碎石术治疗输尿管膀胱壁段结石的临床疗效。方法采用输尿管镜钬激光碎石治疗输尿管膀胱壁段结石36例,并再术后行KUB及IVP复查。结果35例患者临床症状缓解,影像学检查提示输尿管引流通畅,未见结石,手术成功率达97.2%。结论经输尿管镜钬激光治疗输尿管膀胱壁段结石,并发症少,是一种安全有效的微创治疗。

Objective To define the safety and efficacy of transureteroscopic holmium laser lithotripsy on the treatment of ureteral calculi in wall of urinary bladder. Methods 36 cases of ureteral calculi in wail of urinary bladder were treated with ureteroscopy using the Holmium： YAG laser. All patients were postoperatively followed with serial ultrasound,excretory urography at 3 to 6 months intervaL.Results Success, defined as improved drainage on radiographic study and absent clinical symptoms,were achieved in 35 patients. There were no calculi in it. Conclusion Transureteroscopic holmium laser lithotripsy is an effective and safe invasive therapy method for ureteral calculi in wall of urinary bladder.