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目的:评估经输尿管镜钬激光治疗输尿管中下段结石的临床效果。方法:对157例输尿管中下段结石行输尿管镜钬激光碎石术。结果:154例(160侧)均顺利完成输尿管镜钬激光碎石术,2例因输尿管扭曲严重,1例因输尿管腔严重狭窄,改行开放手术。术后所有患者肾积水情况明显减轻或消失,无严重并发症发生。结论:经输尿管镜钬激光术治疗输尿管中下段结石具有操作简单、安全有效、创伤小、术后恢复快等特点,可以作为治疗输尿管中下段结石的首选方法。
Objective: To evaluate the clinical efficacy of ureteroscopic holmium laser in the treatment of lower ureteral calculi. Methods: 157 cases of ureteral stones underwent ureteroscopic holmium laser lithotripsy. Results: All the 154 cases (160 sides) successfully completed the ureteroscopic holmium laser lithotripsy, 2 cases had serious distortion of the ureter and 1 case had severe ureteral stricture. Postoperative hydronephrosis in all patients significantly reduced or disappeared, no serious complications. Conclusion: The ureteroscopic holmium laser treatment of the lower ureteral calculi with simple, safe and effective, less trauma, quick recovery and other characteristics, can be used as the treatment of stones in the lower ureter the preferred method.