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目的:探讨封堵器联合输尿管镜钬激光碎石术在输尿管上段结石治疗中的安全性及可行性。方法:回顾性分析51例采用封堵器联合输尿管镜钬激光碎石术治疗输尿管上段结石的患者的临床资料,统计患者的手术时间、结石清除率、术后住院时间、术后并发症发生率。结果:51例患者中除2例(3.9%)因息肉包裹严重改变手术方式,3例(8.69%)结石上移外,其余46例(90.2%)均一次性碎石成功。手术时间30~55min,平均(39±8)min,术后1个月行KUB及泌尿系彩超复查,结石清除率95.6%,术后住院时间为5~9d,平均(6.9±1.3)d,术后并发症发生率为6.52%。结论:封堵器联合输尿管镜钬激光碎石术用于治疗输尿管上段结石安全且疗效确切,值得临床应用和推广。
Objective: To investigate the safety and feasibility of occluder combined with ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods: The clinical data of 51 patients treated with occluder combined with ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi were retrospectively analyzed. The operation time, stone removal rate, postoperative hospital stay, postoperative complication rate . Results: Among the 51 patients, the remaining 46 cases (90.2%) were successfully treated with single gravel because of the severe changes of the polyp in the other 2 cases (3.9%), and the stones in 3 cases (8.69%). The operation time was 30-55 minutes, with an average of (39 ± 8) minutes. KUB and urography were performed one month after operation. The stone clearance rate was 95.6% and the postoperative hospital stay was 5-9 days (mean, 6.9 ± 1.3) days. The incidence of postoperative complications was 6.52%. Conclusion: occluder combined with ureteroscopic holmium laser lithotripsy for the treatment of upper ureteral calculi is safe and effective, it is worth clinical application and promotion.