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目的探讨输尿管镜钬激光治疗输尿管支架置入术后双J管附壁结石形成致拔管困难治疗效果。方法分析我院2011年12月~2014年9月13例输尿管支架植入术后双J管附壁结石形成，双J管拔出困难，行输尿管镜钬激光碎石术后拔除双J管病例。结果13例患者双J管附壁结石碎石成功，双J管均一期手术成功拔除，未出现输尿管撕脱或穿孔并发症，手术时间15~60min。结论输尿管镜钬激光碎石治疗双J管附壁结石形成致拔除困难安全有效。“,”Objective To investigate the Holmium laser treatment of ureteral stenting double J tube at ached to the wal of stone formation caused by extubation dif icult treatment. Methods The analysis of our hospital from December 2011 to September 2014 13 cases of ureteral double J stent implantation mural stone formation, double J tube pul ed hard, use Holmium laser lithotripsy after removal of double J tube cases. Results 13 cases of patients with double J tube at ached to the wal of stone rubble success, double J tube al removal of surgical success, does not appear ureteral avulsion or perforation complications, operative time 15~60min. Conclusion Holmium laser lithotripsy double J tube at ached to the wal of stone formation caused by the removal of the dif iculties is safe and ef ective.