论文部分内容阅读
[目的]研究输尿管镜钬激光碎石联合在输尿管结石急性嵌顿性梗阻中的疗效及并发症情况。[方法]收集2009年1月～2010年12月期间输尿管结石急性嵌顿性梗阻行输尿管镜钬激光碎石病例45例,分析其结石碎除疗效及并发症。[结果]本组患者行输尿管镜钬激光碎石手术时间(40±18.4)min,结石成功碎除率93.3%(42/45),总并发症率15.6%(7/45)。[结论]输尿管镜钬激光碎石术具有创伤小、效果明确、并发症少等特点,可与体外冲击波碎石术、开放手术等技术有机结合,充分发挥其腔镜与激光微创的优势。
[Objective] To study the efficacy and complications of ureteroscopic holmium laser lithotripsy in acute incarcerated ureteral obstruction. [Method] Forty-five cases of ureteroscopic holmium laser lithotripsy with acute incarcerated ureteral calculi during January 2009 to December 2010 were collected to analyze the curative effect and complication of lithotripsy. [Result] The operation time of ureteroscopic holmium laser lithotripsy was (40 ± 18.4) min. The successful stone removal rate was 93.3% (42/45) and the total complication rate was 15.6% (7/45). [Conclusion] Ureteroscopic holmium laser lithotripsy is characterized by less trauma, definite effect and less complications. It can be combined with ESWL, open surgery and other techniques to give full play to the advantages of endoscopic and minimally invasive laser.