逆行输尿管软镜联合钬激光治疗肾结石213例疗效分析

Efficacy of retrograde ureteral soft lenses and holmium laser in the treatment of 213 patients with kidney stones

目的 评价逆行输尿管软镜联合钬激光碎石治疗肾结石的临床应用价值.方法 回顾性分析2014年3月至2015年10月本院使用输尿管软镜联合钬激光治疗肾结石的213例患者病例资料.结果 一次进镜成功率92.5％（197/213）,205例软镜成功进镜后成功寻及结石率96.2％ （205/213）.手术时间20～ 220 min.术后1个月复查尿路平片,单次碎石成功率为82.2％ （175/213）.无严重手术并发症发生.结论 逆行输尿管软镜联合钬激光治疗肾结石是一种微创、安全、有效的治疗方法.一期输尿管软镜进镜困难的患者可在成功留置双J管2周后二期行输尿管软镜碎石术.

Objectives To evaluate clinical value of retrograde ureteral soft lenses and holmium laser lithotripsy for kidney stones.Methods The clinical data of 213 patients with kidney stone who were treated by retrograde ureteral soft lenses and holmium laser were retrospectively analyzed in the hospital between March 2014 and October 2015.Results The success rate of scope-forward was 92.5％ （197/213）,and the success rate of stone search was 96.2％ （205/213）.The operation time was 20 ～ 220 min.The success rate of stone fragmentation after one session was 82.2％ （175/213） with review of KUB one month after operation.No serious complications occurred.Conclusions The treatment of kidney stones with retrograde ureteral soft lenses holmium laser is a minimally invasive,safe and effective method.Patients can have the second under retrograde ureteral soft lenses in successfully indwelling Double-J tube two weeks,while the first difficulty doing retrograde ureteral soft lenses.