摘要
目的探讨使用钬激光碎石术治疗泌尿系结石的疗效及安全性。方法对2013年8月至2016年7月在兴国县人民医院经输尿管镜下钬激光碎石技术治疗的490例(男315例,女175例;输尿管单侧结石398例,双侧结石92例;输尿管上段结石310例,中段结石107例,下段结石73例)输尿管结石患者的临床资料进行回顾性分析。结果使用输尿管镜钬激光技术治疗输尿管结石的一次碎石成功率为92.04%(451/490),其中有39例(7.96%)发生并发症:结石进入肾内29例,脓毒血症3例,严重血尿3例,尿外渗2例,输尿管黏膜撕脱和输尿管狭窄各1例;痊愈38例,死亡1例。结论兴国县人民医院引进的钬激光碎石术治疗泌尿系结石具有创伤小、安全、高效且并发症较少的特点。
Objective To investigate the efficacy and safety of ureteroscopic holmium： YAG laser lithotripsy in the treatment of ureteral calculi. Methods Clinical data of 490 patients with ureteral calculi （315 males and 175 females） who received ureteroscopic holmium：YAG laser lithotripsy between August 2013 and July 2016 in Xingguo People＇s Hospital were analyzed retrospectively. Among them, 398 had unilateral ureteral calculi, 92 had bilateral ureteral calculi, 310 had upper ureteral calculi, 107 had middle ureteral calculi,and 73 had lower ureteral calculi. Results The success rate for first attempt lithotripsy was 92.04% （451/490）. Complications occurred in 39 patients （7. 96%）,included movement of stones into kidney in 29, sepsis in 3, severe hematuria in 3, urinary extravasation in 2, ureteral mucosal avulsion in 1, and ureteral stricture in 1 ;Cured 38 cases,death in 1 case. Conclusion Ureteroscopic holmium：YAG laser lithotripsy is minimally in- vasive,safe and effective for treating ureteral calculi and results in fewer complications.
出处
《南昌大学学报（医学版）》
CAS
2016年第5期4-5,9,共3页
Journal of Nanchang University：Medical Sciences
基金
国家科技惠民计划项目(2013GS360101)
关键词
输尿管镜
输尿管结石
钬激光碎石
并发症
兴国
江西
ureteroscopy
ureteral calculi
holmium laser lithotripsy
complications
Xingguo,Jiangxi
