论文部分内容阅读
目的:评价输尿管结石ESWL失败后输尿管镜钬激光碎石术的临床治疗效果。方法:回顾性分析2002年3月～2005年10月输尿管结石ESWL失败后行输尿管镜钬激光碎石术50例(52侧)临床资料。结果:输尿管镜钬激光一次碎石成功46例(48侧),成功率为92.3%(48/52),2例置镜失败,2例结石移位。46例中,结石并发息肉或肉芽40例,远端狭窄10例,输尿管扭曲8例。结论:输尿管镜钬激光碎石术,创伤小,并发症少,是治疗输尿管结石ESWL失败后的首选方法。
Objective: To evaluate the clinical effect of ureteroscopic holmium laser lithotripsy after failure of ureteral calculi ESWL. Methods: The clinical data of 50 patients (52 sides) undergoing ureteroscopic holmium laser lithotripsy after failed ESWL of ureteral calculi from March 2002 to October 2005 were retrospectively analyzed. Results: The primary ureteroscopic holmium laser lithotripsy was successfully performed in 46 cases (48 sides) with a success rate of 92.3% (48/52). Two cases failed to mount the mirror and two cases had stone metastases. 46 cases, 40 cases of polyps or granulation stones, distal stenosis in 10 cases, 8 cases of ureteral distortions. Conclusion: Ureteroscopic holmium laser lithotripsy, trauma and less complications, is the preferred method after the failure of ureteral calculi ESWL.