输尿管镜钬激光碎石术治疗体外冲击波碎石术失败后输尿管结石

Transureteroscope holmium laser lithotripsy for ureteral calculi after falled ESWL

目的评价输尿管结石体外冲击波碎石术(ESWL)失败后输尿管镜钬激光碎石术的临床治疗效果。方法回顾性分析2004年8月～2007年12月输尿管结石ESWL失败后行输尿管镜钬激光碎石术65例临床资料。结果输尿管镜钬激光1次碎石成功64例,成功率为98.5%(64/65),1例结石移位。65例中,结石并发息肉或肉芽57例,远端狭窄8例。结论输尿管镜钬激光碎石术,创伤小,并发症少,是治疗输尿管结石ESWL失败后的首选方法。

【Objective】To evaluate curative effects of ureteroscopic Ho：YAG laser lithotripsy for ureteral calculi after failed ESWL.【Methods】Clinical data of 65 cases of ureteroscopic Ho：YAG laser lithotripsy for ureteral calculi after failed ESWL were collected from Aug.2004 to Dec.2007 in our department.【Results】Ureteroscopic Ho：YAG laserlithotripsy success rate was 98.5%（64/65）.With 1 cases of calculi translocation.Among 65 cases,there were 57 cases of polypi and granulation tissue,8 of distal ureteral stricture.【Conclusions】Ureteroscopic Ho：YAG laser lithotripsy was the first choice of ureteral calculus after failed ESWL with little trauma and few complications.