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目的:评价输尿管结石ESWL失败后输尿管镜钬激光碎石术的临床治疗效果。方法:分析2010年9月~2015年10月输尿管结石ESWL治疗后行输尿管镜钬激光碎石术42例临床资料。结果:输尿管镜钬激光一次碎石成功38例,成功率为90.5.3%(38/42),1例置镜失败,3例结石移位。42例中,结石并发息肉或肉芽36例,远端狭窄5例,输尿管扭曲6例。结论:输尿管镜钬激光碎石术,创伤小,并发症少,是治疗输尿管结石ESWL失败后的首选方法。
Objective: To evaluate the clinical effect of ureteroscopic holmium laser lithotripsy after failure of ureteral calculi ESWL. Methods: From September 2010 to October 2015, 42 cases of ureteroscopic holmium laser lithotripsy after ureteral calculi ESWL were treated. Results: The primary ureteroscopic holmium laser lithotripsy was successful in 38 cases, the success rate was 90.5.3% (38/42). One case failed to mount the mirror and the other 3 cases had stone metastasis. Forty-two cases were complicated with polyps or granulation in 36 cases, distal stenosis in 5 cases and ureteral distortions in 6 cases. Conclusion: Ureteroscopic holmium laser lithotripsy, trauma and less complications, is the preferred method after the failure of ureteral calculi ESWL.