经输尿管镜钬激光碎石术治疗输尿管结石疗效及围术期护理

Ureteroscopy holmium laser lithotripsy treatment of ureteral calculi curative curative effect and perioperative care

目的：探讨经输尿管镜钬激光碎石术治疗输尿管结石的临床疗效及围术期护理体会。方法：将2011年6月∽2013年10月收治87例输尿管结石患者，采用经输尿管镜钬激光碎石术治疗，同时给予有效护理的临床资料进行回顾性分析。结果：通过钬激光碎石术治疗与围术期护理，本组87例输尿管结石患者，1次性碎石成功率为97．7％（85／87），手术平均时间52．6±10．3分钟，平均住院时间3．5±1．6天，术后随访4∽12周，52例伴有不同程度肾积水患者，超声复查积水明显减轻或消失，复查KUB＋IVU，无输尿管狭窄及结石残留。结论：输尿管镜钬激光碎石术治疗输尿管结石临床疗效显著，安全性高，结合围术期护理可明显降低术后并发症的发生。

Objective：To explore the ureteroscopy holmium laser lithotripsy clinical curative effect in the treatment of ureteral calculi and perioperative care experience .Methods：In June 2011 to October 2013 treated 87 cases of ureteral calculi patients , treated with uret-eroscopy holmium laser lithotripsy via ,while giving effective nursing clinical data were retrospectively analyzed .Results：Holmium laser lithotripsy treatment and perioperative care , this group of 87 patients with ureteral, one-time success rate of gravel was 97.7%（85/87）, surgery for an average of （52.6 ＆#177;10.3）minutes, the average length of hospital stay for （3.5 ＆#177;1.6）days, postoperative follow -up of 4 to 12 weeks,52 patients with different degree of hydronephrosis ,the use of ultrasound showed a significant reduction of hydronephrosis or dis -appear, review of the review of the KUB ＋IVU, without ureteral stricture and residual calculi .Conclusion：Use of ureteral holmium laser lithotripsy in the treatment of ureteral calculi curative effect might be distinct , high safety ,combined with perioperative nursing can obvi-ously reduce the occurrence of postoperative complication .