输尿管软镜激光碎石287例并发症分析

Complications analysis of urinary calculi with Ho:YAG laser lithotriptor through flexible ureteroscope(report of 287 cases)

目的:探讨经输尿管软镜钬激光碎石术并发症的发生情况及处理措施。方法:287例行经输尿管镜钬激光碎石术治疗输尿管结石的患者,发生的原因进行分析,提出处理措施。结果:287例发生泌尿系感染21例,其中感染性休克4例,术后出血4例,肾周血肿2例,并发症发生后经过恰当积极的处理,获得了较为满意的效果。结论:经输尿管软镜钬激光碎石术并发症的发生不可能完全避免,但若手术操作谨慎仔细,并发症发生后及时进行积极处理,则可明显减少其发生后所带来的影响。

Objective： To investigate the occurrence and treatment measures of flexible ureteroscopy with holmium： YAG laser lithotripsy complication. Methods： In our department ureteral calculi patients were analyzed retrospectively in the recent 2 years through 287 cases of ureteroscopic holmium laser lithotripsy ,the complications were summarized in this paper, analysis of the causes and treatment measures. Results：There were 21 cases of urinary tract infection, 4 cases of septic shock, postoperative hemorrhage in 4 cases, including 2 cases of renal hematoma, these complications after appropriate positive treatment were obtained satisfactory results. Conclusions： Through flexible ureteroscope holmium laser lithotripsy complication can not be avoided completely, but if the operations are carefully, the complications after active treatment can be significantly reduced .