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目的探讨输尿管软镜下钬激光联合U100plus在上尿路结石中的临床疗效和应用。方法选取2015年1月-2016年1月与本院泌尿外科进行手术治疗的86例肾结石或输尿管上段结石患者,结石在20-55mm大小范围,在输尿管软镜下行钬激光联合U100plus碎石术进行治疗。并于术后对碎石效果进行评测和统计学分析。结果一次碎石成功率为92.6%;结石清除率90.3%;手术时间20~68min,平均40min;住院时间平均4 d;术后除少数患者发热,其余患者均无明显不良反应。结论输尿管软镜下钬激光联合U100plus结石治疗中具有安全、有效及并发症少的优点,在上尿路结石手术应用中值得推广。
Objective To investigate the clinical efficacy and application of ureteroscopic holmium laser combined with U100plus in upper urinary calculi. Methods From January 2015 to January 2016, 86 patients with renal stones or upper ureteral calculi undergoing surgical treatment of urology in our hospital were treated with holmium laser and U100plus lithotripsy under ureteroscope in the range of 20-55mm. For treatment. After the operation, the gravel effect was evaluated and statistically analyzed. Results The success rate of primary lithotripsy was 92.6%. The stone clearance rate was 90.3%. The operative time was 20-68 minutes (average 40 minutes). The average length of hospital stay was 4 days. No adverse reactions were observed in the remaining patients except for a few patients. Conclusions The advantages of ureteroscopic holmium laser combined with U100plus calculus are safe, effective and less complication in the treatment of upper urinary calculi.