嵌顿性尿道结石的钬激光腔内碎石治疗

Angular cobble intracavitary by holmium laserlithotripsy in treatment of urethral calculi incarcerated

目的:总结嵌顿性尿道结石钬激光治疗的疗效和经验。方法:回顾性分析16例嵌顿性尿道结石钬激光治疗临床资料。结果:16例全部一次碎石成功。2例后尿道结石合并膀胱结石,行部分碎石后推回膀胱,配合大力碎石钳碎石后冲出。1例合并BPH,同时行TVKP。碎石时间7～26min,平均18min。随访3～6个月,无排尿障碍,尿道狭窄等并发症。结论:钬激光治疗嵌顿性尿道结石安全高效,创伤小,恢复快,手术易掌握,值得首选。

Objective： To summarize the efficacy and experience of angular cobble intracavitary by holmium laser lithotripsy in the treatment. Methods： Retrospective analysis of 16 cases clinical data of angular cobble intracavitary by holmium laser lithotripsy in the treatment of urethral calculi incarcerated. Results：All 16 cases of successful lithotripsy in first time. Two cases of posterior urethral calculi affiliate with bladder calculi, push back to bladder after partial lithotripsy, then wash out the calculi with the help of Great stone forceps. 1 case affiliates with BPH, TVKP at the same time. Lithotripsy time 7 to 26 minutes ,an average of 18 minutes.3 to 6 months follow-up, without complications such as urination disorders or urethral structure. Conclusion： Holmium laser in the treatment of urethral calculi incarcerated is safe and efficient,trauma and rapid recovery, it is easy to master the operation, so it is recommenden.