摘要
目的:探讨输尿管镜下钬激光治疗输尿管结石并发狭窄的有效性及安全性。方法:对64例输尿管结石并发狭窄病人采用输尿管镜下钬激光内切开和碎石术,术中留置F8双"J"管或双F5双"J"管,术后2～3个月拔出。结果:64例病人中60例一次手术成功,2例改开放手术,2例因结石上移而仅行内切开术,术后随访2～10月,58例治愈和好转,有效率为90.6%。结论:输尿管镜下钬激光能同时治疗输尿管结石和狭窄,创伤小、疗效好、并发症少。
Objective： To investigate the efficacy and safety of holmium laser on endoscopic treatment of ureteral calculi combining with stricture. Methods ： 64 patients with ureteral calculi combining with stricture received ureteral endoincision and lithotripsy by using holmium laser under ureteroscope,F8 double J tube or two F5 double J tube was placed in the ureters after the operation and left indwelling for 2 to 3 months. Results.. The operation succeeded in 60 among 64 cases, 2 cases received open surgery,and other 9. cases only received ureteral endoincision because the stones moved to pelvis. Follow up was available for 2 to 10 months, 58 （ 90. 6% ） were cured and improved after the treatment. Conclusion：Under ureteroscope holmium laser therapy can treat calculi combining with stricture of ureter at same operation,and is effective, less invasive with fewer complications.
出处
《陕西医学杂志》
CAS
2009年第9期1184-1185,共2页
Shaanxi Medical Journal
