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目的:探讨输尿管软镜下钬激光碎石术治疗上尿路结石的疗效及技巧。方法:对42例输尿管软镜下钬激光碎石术治疗上尿路结石病例进行回顾性分析,其中肾结石15例,输尿管上段结石15例,肾结石合并输尿管上段结石12例。结果:42例病例手术均成功,其中4例肾结石分两次手术,其中3例残留结石配合体外震波碎石治疗,住院时间4~11d,平均4.1d,术后随访1~6个月。结论:输尿管软镜下钬激光碎石术具有术后痛苦少、恢复快、并发症少等优点,但是手术有一定的并发症,需把握适应证,充分术前准备,术中掌握一定技巧以及术后严密观察。
Objective: To investigate the efficacy and skills of ureteroscopic holmium laser lithotripsy in the treatment of upper urinary tract calculi. Methods: 42 cases of ureteroscopic holmium laser lithotripsy for the treatment of upper urinary tract stones were retrospectively analyzed. There were 15 cases of renal calculi, 15 cases of upper ureteral calculi, and 12 cases of renal calculi with upper ureteral calculi. Results: All the 42 cases were operated successfully. Among them, 4 cases of renal calculi were divided into two operations. Among them, 3 cases were treated with residual stone combined with extracorporeal shock wave lithotripsy. The length of hospital stay was 4 to 11 days (mean, 4.1 days). The patients were followed up for 1 to 6 months. Conclusions: Ureteroscopic holmium laser lithotripsy has the advantages of less postoperative pain, faster recovery and fewer complications. However, there are certain complications in the operation, which requires indications, adequate preoperative preparation, intraoperative mastery of certain skills and Close observation.