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目的:探讨输尿管镜钬激光碎石术治疗输尿管结石的有效性和安全性。方法:回顾性分析216例应用经输尿管镜钬激光碎石术治疗的输尿管结石患者资料。男133例,女83例;年龄20～68岁,平均49岁。上段结石48例,中段58例,下段110例。结石直径0.7～2.6cm,平均1.4cm。结果:单次碎石成功率为98.1%(212/216),其中上段结石单次碎石成功率为91.6%(44/48),中、下段为100%(168/168)。平均手术时间29min,212例术后平均住院3.5天。术后随访2周～3个月,结石排净率99%(210/212)。结论:输尿管镜钬激光碎石术治疗输尿管结石高效、安全,可作为输尿管结石特别是中下段结石首选的治疗方法。
Objective: To investigate the effectiveness and safety of ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods: A retrospective analysis of 216 patients with ureteral calculi treated by ureteroscopic holmium laser lithotripsy was performed. 133 males and 83 females; aged 20 to 68 years, mean 49 years. 48 cases of upper stones, the middle 58 cases, the lower 110 cases. Stones diameter 0.7 ~ 2.6cm, an average of 1.4cm. Results: The success rate of single gravel was 98.1% (212/216). The success rate of single gravel in the upper segment was 91.6% (44/48), while the middle and lower segments were 100% (168/168). The average operation time was 29 min, and 212 patients were hospitalized for 3.5 days on average. The patients were followed up for 2 weeks to 3 months. The stone removal rate was 99% (210/212). Conclusion: Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi with high efficiency and safety can be used as the preferred treatment for ureteral calculi, especially in the middle and lower calculi.