输尿管镜钬激光治疗输尿管中下段结石疗效观察(附157例报告)

Holmium laser lithotripsy for the treatment of middle and lower ureteral stones(Report of 157 cases)

目的:评估经输尿管镜钬激光治疗输尿管中下段结石的临床效果。方法:对157例输尿管中下段结石行输尿管镜钬激光碎石术。结果:154例(160侧)均顺利完成输尿管镜钬激光碎石术,2例因输尿管扭曲严重,1例因输尿管腔严重狭窄,改行开放手术。术后所有患者肾积水情况明显减轻或消失,无严重并发症发生。结论:经输尿管镜钬激光术治疗输尿管中下段结石具有操作简单、安全有效、创伤小、术后恢复快等特点,可以作为治疗输尿管中下段结石的首选方法。

Objective：Evaluation clinical effect of holmium laser for the treatment of middle and lower ureteral calculi. Methods： Ureteroscopic holmium laser lithotripsy were performed in 157 cases of middle and lower ureteral stones. Results： In 154 cases （160 sides） were successfully completed with ureteroscopic holmium laser lithotripsy, only 2 cases underwent opening operation, 1 case duo to serious distortions, 1 cases ureteral lumen stenosis. After operation, hypernephrosis reduced or disappeared significantly, no serious complications occurred in all patients. Conclusions ： Holmium ： YAG laser operation in treatment of middle and lower ureteral calculi is simple, safe and ef- fective, less trauma, rapid postoperative recovery and so on, can be used as the preferred method in treatment of middle and lower ureteral stones.