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目的:通过对26例输尿管镜钬激光碎石治疗嵌顿输尿管结石进行临床治疗分析,探究其安全性以及有效性。方法:随机选取我院于2012年4月~2012年8月收治的输尿管镜钬激光碎石治疗嵌顿输尿管结石患者26例,对其碎石率、排石率以及并发症等几个等方面的情况进行分析。结果:在26例的治疗中,一次碎石成功率为92.3%(24/26);平均手术时间为36min,平均碎石时间为17min,碎石过程中共有1例黏膜撕裂;排净率为96.2%(25/26),肾盂积水由以前的(2.7±0.5)cm降至(1.6±0.3)cm(P<0.01);对患者进行时长为3~24个月的随访,没有发现输尿管狭窄的情况。结论:输尿管镜钬激光碎石治疗嵌顿输尿管结石是一种安全有效的治疗方法。
Objective: To evaluate the safety and efficacy of ureteroscopic holmium laser lithotripsy in 26 cases of incarcerated ureteral calculi. Methods: A total of 26 cases of incarcerated ureteral calculi underwent ureteroscopic holmium laser in our hospital from April 2012 to August 2012 were selected. The rate of gravel, the rate of stone discharge and complications Analysis of the situation. Results: In the treatment of 26 cases, the success rate of primary gravel was 92.3% (24/26). The average operation time was 36 minutes and the average gravel time was 17 minutes. There was a total of 1 mucosal tear in the gravel process. (96.2%, 25/26), and the hydronephrosis decreased from (2.7 ± 0.5) cm to (1.6 ± 0.3) cm (P <0.01). No follow-up was observed in patients with a duration of 3 to 24 months Ureteral stenosis. Conclusion: Ureteroscopic holmium laser lithotripsy for the treatment of incarcerated ureteral calculi is a safe and effective treatment.