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目的:探讨输尿管镜下钬激光治疗输尿管结石的有效性、安全性。方法:采用输尿管镜钬激光碎石术治疗输尿管结石108例,其中结石直径≥1 cm 75例,<1 cm 33例。输尿管结石远端狭窄7例,远端息肉形成10例,结石局部炎性粘连包裹9例。结果:其中102例输尿管结石被1次性击碎,6例输尿管上段结石因术中结石被液压泵冲洗至肾盂内,需2次行体外冲击波碎石治疗。输尿管穿孔5例,经留置双J管后痊愈。结论:输尿管镜下钬激光治疗输尿管中下段结石及合并输尿管息肉、狭窄时,疗效确切、安全、微创。
Objective: To investigate the efficacy and safety of ureteroscopic holmium laser in the treatment of ureteral calculi. Methods: Ureteroscopic holmium laser lithotripsy for the treatment of ureteral calculi in 108 cases, of which stone diameter ≥ 1 cm 75 cases, <1 cm 33 cases. 7 cases of distal ureteral calculi stenosis, 10 cases of distal polyps, and 9 cases of calculi local inflammatory adhesions. Results: Among them, 102 cases of ureteral calculi were crushed one time, 6 cases of upper ureteral calculi due to intraoperative stone was hydraulic pump to the renal pelvis, need 2 times extracorporeal shock wave lithotripsy. Ureteral perforation in 5 cases, after double J tube retention healed. Conclusion: Holmium laser ureteroscopic treatment of lower ureteral stones and ureteral polyps, stenosis, the exact effect, safe, minimally invasive.