摘要
目的总结钬激光治疗输尿管结石307例的体会。方法输尿管结石307例,结石分布在输尿管上段、中段、下段分别为51、97、159例,通过6.9/7.4F半硬输尿管镜用钬激光碎石。结果输尿管镜置镜成功率为99.7%,输尿管上、中、下段碎石、排石成功率分别为68.6%、97.9%和99.4%。在输尿管上段碎石过程中并发输尿管穿孔2例。全组均有不同程度的肉眼血尿,高热5例,无输尿管撕脱、断裂等严重并发症发生。结论钬激光治疗输尿管结石是一种有效的微创手术,应用较细的输尿管镜可提高进镜机率。
【Objective】To summarize the experiences of Ho：YAG for ureteric calculis.【Method】A total of 307 cases of ureteric calculis.Located in the upper ureteral stones,the middle and lower segments were 51 cases,97 cases,159 cases,respectively.All cases were treated with 6.9/7.4 F semihard ureteroscope.【Result】The successful ratio of insertion of 6.9/7.4F semihard ureteroscope was 99.7%.And the successful rate of lithotripsy and removal of the stones at the upper,middle and lower part of ureter were 68.6%,97.9% and 99.4%,resperctively.The ureter perforation happened in 2 cases at upper part of ureter.Gross hematuria happened in all cases with different degree.5 cases of high were fever.No severe complications such as avulsion and rupture of ureter happened.【Conclusion】Ho：YAG laser for ureteric calculis is a kind of effective minimally invasive operation,the fine ureteroscope could increase the insertion rate.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第11期1196-1198,共3页
China Journal of Endoscopy
关键词
钬激光
输尿管结石
输尿管镜
Ho：YAG laser
ureteric calculus
uretercscope
