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目的:探讨输尿管镜下钬激光治疗输尿管结石严重并发症的原因及预防措施。方法:回顾性分析2009年输尿管镜下钬激光治疗输尿管结石出现2例严重并发症发生的原因及治疗措施。结果:2例并发症中输尿管穿孔1例,原发性纤溶活性亢进致严重血尿1例,均经相应治疗获愈。结论:合理选择病例及掌握相应的处理措施是降低输尿管镜下钬激光治疗结石并发症的关键。
Objective: To investigate the causes of ureteroscopic holmium laser treatment of severe complications of ureteral calculi and its preventive measures. Methods: Retrospective analysis of 2009 ureteroscopic holmium laser treatment of ureteral calculi appeared two cases of serious complications and treatment. Results: In 2 cases, ureter perforation was found in 1 case, and primary fibrinolytic activity was severe in 1 case of hematuria. All of them were cured by appropriate treatment. Conclusion: Reasonable choice of cases and the corresponding treatment measures are the key to reduce the complications of ureteroscopic holmium laser treatment of stones.