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目的:探讨输尿管镜下钬激光治疗输尿管肿瘤方法和临床疗效。方法:对17例孤立肾、对侧肾功能受损及不能耐受大手术输尿管肿瘤患者术中采用输尿管镜下钬激光治疗行肿瘤切除术。结果:17例手术均获成功,平均手术时间30min,患者均术后第5天拔出导尿管,拔管前行膀胱灌注治疗,住院时间5~7d,术后随访6个月输尿管局部复发3例,膀胱内复发1例。结论:此手术方法创伤小,并发症少,是治疗孤立肾、对侧肾功能受损及不能耐受大手术的输尿管肿瘤患者的有效手术方法之一。
Objective: To investigate the ureteroscopic holmium laser treatment of ureteral tumors and clinical efficacy. Methods: Totally 17 patients with isolated kidney, contralateral renal dysfunction and patients who could not tolerate major ureteral tumor underwent ureteroscopic holmium laser undergone tumor resection. Results: All the operations were successful in 17 cases, the average operation time was 30 minutes. All the patients were removed the catheter on the 5th day after operation, and the bladder catheterization was performed before extubation. The hospitalization time was 5 to 7 days. The local ureteral recurrence was followed up for 6 months 3 cases, 1 case of recurrent bladder. Conclusion: This procedure is less invasive and has fewer complications. It is one of the effective surgical methods for the treatment of isolated ureter, impaired contralateral renal function and urethral tumor patients who can not tolerate major operations.