摘要
目的:总结输尿管镜钬激光碎石治疗输尿管上段结石的疗效和操作技巧。方法:回顾性分析输尿管镜钬激光治疗输尿管上段结石138例143侧的临床资料。结果:一次碎石成功率为94.2%(135/143),平均手术时间64 min,平均住院4.5 d。8例部分结石碎片回冲入肾盂,术后补充ESWL治疗。135例患者拔出双J管后均行KUB及B超复查,随访3~12个月,肾积水消失或不同程度减轻。结论:输尿管镜钬激光治疗输尿管上段结石可以达到满意的治疗效果。
Objective: To evaluate the therapeutic effect and operative skills of ureteroscopic holmium laser lithotripsy on upper ureteral calculi.Methods: Investigated the clinical data of ureteroscopic holmium laser lithotripsy in treatment of 138 case(143 sides) with upper ureteral calculi.Results: The successful rate of laser lithotripsy was 94.2%(135 /143),the mean operation time was 64min,the mean hospital stay time was 4.5 days.The calculi were flushed into the renal pelvis in 8 case during the operation,and followed by ESWL treating.Followed up 3-12 months,the B ultrasonic and KUB examination showed hydronephrosis disappeared or released to different extent after double J stent removement in 135 case.Conclusions: Ureteroscopic holmium laser lithotripsy have the satisfied effect for treating upper ureteral calculi.
出处
《现代临床医学》
2013年第4期291-292,共2页
Journal of Modern Clinical Medicine
关键词
输尿管镜
钬激光
输尿管
结石
ureteroscopy
holmium laser
upper ureteral calculi