输尿管中下段结石肾绞痛时输尿管镜钬激光碎石治疗的价值

Value of ureteroscopic holmium laser lithotripsy for acute renal colic caused by middle or low ureteral stones

目的探讨输尿管镜下钬激光碎石术治疗输尿管中下段结石致急性肾绞痛患者的有效性和安全性。方法对61例输尿管中下段结石伴肾绞痛患者行输尿管镜钬激光碎石治疗。结果单次碎石成功率为100%。未出现输尿管黏膜损伤穿孔、撕裂、断裂、菌血症等严重并发症。术后随访2个月,结石排净率为100%。结论输尿管镜钬激光碎石术治疗输尿管中下段结石安全、有效,能迅速缓解肾绞痛症状,可作为首选治疗方法之一。

Objective To observe the efficacy and safety of ureteroscopic holmium laser lithotripsy for acute renal colic caused by middle or low ureteral stones. Methods Sixty-one patients suffered with renal colic due to middle or low ureteral stones were treated with ureteroscopic holmium laster lithotripsy. Results The lithotripsy successful rate in a single procedure was 100% and there were no serious complications such as ureteral perforation,tear,breakage and bacteremia.After 2 months of follow up,the stone clearance rate was 100%. Conclusion Treatment of middle or low ureteral stones with ureteroscopic holmium laser lithotripsy is an effective and safe method.It could relieve the renal colic rapidly and be the optimal treatment for the disease.