摘要目的：：评价输尿管软镜下钬激光碎石术治疗复杂性上尿路结石的有效性和安全性。方法：回顾性分析80例输尿管软镜下钬激光碎石术治疗复杂性上尿路结石。结石直径1.0~3.5 c m,平均2.2 c m。经输尿管软镜镜鞘置入输尿管软镜,采用230μm 钬激光光纤,6.4~9.6 W 功率碎石。结果：80例患者中70例行一期碎石,3例因急性肾功能不全急诊行双J管置管术,7例因输尿管狭窄难以置入输尿管软镜镜鞘,留置双 J 管1~2周后再次手术成功。手术时间30~180 mi n ,平均65 mi n 。术后住院2~12 d ,平均3.1 d 。术后1个月无石率为91.25％。无严重并发症发生。结论：输尿管软镜下钬激光碎石术是治疗复杂性上尿路结石的安全有效方法。
Abstract：Objective :To eval uate the efficacy and safety of flexi ble ureteroscopy and hol mi u m∶YAGlaser litho-tri psy for the treat ment of co mplex proxi mal uri nary tract calculi .Methods :A retrospecti ve anal ysis was perfor med on 80 patients with co mple
张建忠;张军晖;邢念增. 输尿管软镜在复杂性上尿路结石治疗中的应用[J]. 微创泌尿外科杂志, 2015, 4(2): 88-91.
Zhang Jianzhong;Zhang Junhui;Xing Nianzeng. Application of flexi ble ureteroscopy for the treat ment of co mplex proxi mal uri nary tract calculi. Journal of Minimally Invasive Urology, 2015, 4(2): 88-91.
