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目的:探讨经输尿管硬镜国产钬激光碎石在输尿管结石治疗中的应用。方法:回顾性分析2006年8月~2008年8月经输尿管硬镜应用国产钬激光碎石治疗输尿管结石患者18例(19侧)临床资料。结石长径(以泌尿系平片为标准)为0.8cm~1.3cm,平均为1.1cm。其中14例伴有患侧肾积水、输尿管扩张。6例伴有患侧急性肾绞痛。7例同时合并有输尿管息肉。结果:全部患者均单次碎石治疗成功。手术时间为20分钟~55分钟,平均为24分钟。无术中及术后并发症。术后住院时间5~7天,平均5.5天。术后常规留置双J管6~8周。18例均得到随访,随访时间为6~8周。8周结石排尽率为100%。结论:经输尿管镜钬激光碎石是一种治疗输尿管结石安全可靠、疗效肯定的治疗方法。
Objective: To investigate the application of domestic ureteroscopic holmium laser lithotripsy in the treatment of ureteral calculi. Methods: Clinical data of 18 patients (19 sides) treated by ureteroscopic ureteroscopic holmium laser lithotripsy from August 2006 to August 2008 were analyzed retrospectively. The long diameter of the stone (urinary plain film as the standard) was 0.8cm ~ 1.3cm, with an average of 1.1cm. 14 cases with ipsilateral hydronephrosis, ureteral dilatation. 6 patients with ipsilateral acute renal colic. 7 cases combined with ureteral polyps. Results: All patients were treated with single gravel. Surgery time is 20 minutes to 55 minutes, an average of 24 minutes. No intraoperative and postoperative complications. Postoperative hospital stay 5 to 7 days, an average of 5.5 days. Conventional double J tube indwelling 6 to 8 weeks. 18 cases were followed up for 6 to 8 weeks. 8 weeks stone exhaustion rate of 100%. Conclusion: The ureteroscopic holmium laser lithotripsy is a safe and reliable treatment of ureteral stones, the curative effect of positive treatment.