CAJ | 학술논문

目的：探讨经输尿管软镜钬激光碎石术并发症的发生情况及处理措施。方法：287例行经输尿管镜钬激光碎石术治疗输尿管结石的患者，发生的原因进行分析，提出处理措施。结果：287例发生泌尿系感染21例，其中感染性休克4例，术后出血4例，肾周血肿2例，并发症发生后经过恰当积极的处理，获得了较为满意的效果。结论：经输尿管软镜钬激光碎石术并发症的发生不可能完全避免，但若手术操作谨慎仔细，并发症发生后及时进行积极处理，则可明显减少其发生后所带来的影响。
목적：탐토경수뇨관연경화격광쇄석술병발증적발생정황급처리조시。방법：287례행경수뇨관경화격광쇄석술치료수뇨관결석적환자，발생적원인진행분석，제출처리조시。결과：287례발생비뇨계감염21례，기중감염성휴극4례，술후출혈4례，신주혈종2례，병발증발생후경과흡당적겁적처리，획득료교위만의적효과。결론：경수뇨관연경화격광쇄석술병발증적발생불가능완전피면，단약수술조작근신자세，병발증발생후급시진행적겁처리，칙가명현감소기발생후소대래적영향。
Objective:To investigate the occurrence and treatment measures of flexible ureteroscopy with holmium :YAG laser lithotripsy complication .Methods :In our department ureteral calculi patients were analyzed retrospectively in the recent 2 years through 287 cases of ureteroscopic holmium laser lithotripsy ,the complications were summarized in this paper ,analysis of the causes and treatment measures .Results :There were 21 cases of uri-nary tract infection ,4 cases of septic shock ,postoperative hemorrhage in 4 cases ,including 2 cases of renal hemato-ma , these complications after appropriate positive treatment were obtained satisfactory results . Conclusions :Through flexible ureteroscope holmium laser lithotripsy complication can not be avoided completely ,but if the oper-ations are carefully ,the complications after active treatment can be significantly reduced .