摘要
目的:探讨钬激光治疗复杂性输尿管结石有效性及安全性。方法:回顾性分析2003年12月～2005年12月收治的经输尿管镜钬激光治疗复杂性输尿管结石56例患者的临床资料。56例患者均有不同程度肾积水。12例并发结石远端输尿管狭窄,27例并发单纯息肉,9例并发息肉形成并包裹结石,8例并发结石嵌顿、与输尿管壁紧密粘连,24例有接受ESWL治疗史,5例曾行输尿管切开取石术。双侧输尿管结石伴肾功能减退6例。结果:56例中,53例单次手术碎石成功,单次手术结石粉碎率达94.6%(53/56),1例在钬激光碎石过程中结石移位于肾盏,术后再行ESWL治疗,1例进镜时输尿管穿孔,1例巨大结石行钬激光碎石失败改为开放手术。结论:输尿管镜钬激光碎石术治疗复杂性输尿管结石安全、有效、微创,可作为治疗复杂性输尿管的首选方法。
To evaluate the therapeutic effect and safety of Homlium： YAG laser on endoscopic treatment of ureteral complicated calculi. Methods： From December 2003 to December 2005, 56 cases with complicated ureteral calculi were viewed which were treated with Homlium ： YAG laser endoscopy. All 56 cases have hydronephrosis. Among them, 12 cases with ureteral stricture , 27 cases with polypus, 9 cases with polypus-surrounding caculi, 8 cases with caculi setting into ureter, 24 cases fail of ESWL, 5 cases with history of ureterolithotomy and 6 cases with bilateral ureteral caculi and renal hypofunction. Results： 94.6% （53/56） stones were fragmented in one treatment session. Complicatons were observed in 5.4% （3/56）, perforation, caculi shift and failure of fragmentation. Conclusions：Treatment of complicated urinary stones with Homlium： YAG laser has been safe, effective and invasive, and should be chosen as the primary method.
出处
《临床泌尿外科杂志》
2007年第8期601-603,共3页
Journal of Clinical Urology
关键词
输尿管结石
钬激光碎石术
S Ureteral complicated calculi
Homlium： YAG laser lithotripsy
