CAJ | 학술논문

目的：探讨斜卧-截石位输尿管镜下钬激光碎石治疗输尿管上段结石的临床效果。方法回顾性分析98例输尿管上段结石患者施行斜卧-截石位输尿管镜下钬激光碎石术的临床资料。结果手术时间28~83 min,平均手术时间(45.9±5.7)min。98例中首次碎石成功率为90.8%(89/98)。2例因输尿管管腔严重狭窄、1例因输尿管扭曲严重改行开放手术。6例(6.1%)结石残留,结合体外冲击波碎石术(ESWL)治疗后结石排尽。无严重并发症发生。结论斜卧-截石位经输尿管镜钬激光碎石术具有创伤小、操作简单、疗效确切、术后恢复快等优点,是治疗输尿管上段结石的一种安全、有效的方法。
목적：탐토사와-절석위수뇨관경하화격광쇄석치료수뇨관상단결석적림상효과。방법회고성분석98례수뇨관상단결석환자시행사와-절석위수뇨관경하화격광쇄석술적림상자료。결과수술시간28~83 min,평균수술시간(45.9±5.7)min。98례중수차쇄석성공솔위90.8%(89/98)。2례인수뇨관관강엄중협착、1례인수뇨관뉴곡엄중개행개방수술。6례(6.1%)결석잔류,결합체외충격파쇄석술(ESWL)치료후결석배진。무엄중병발증발생。결론사와-절석위경수뇨관경화격광쇄석술구유창상소、조작간단、료효학절、술후회복쾌등우점,시치료수뇨관상단결석적일충안전、유효적방법。
Objective To explore the clinical effect of recumbent-lithotomy position ureteroscopic holmium laser lithotripsy in the treatment of upper ureteral calculi. Methods A retrospectively analysis was made on the clinical data of 98 upper ureteral calculi patients, who underwent recumbent-lithotomy position ureteroscopic holmium laser lithotripsy. Results The operation times were 28~83 min, with an average time of (45.9±5.7) min. Among the 98 cases, the first time success rate of lithotripsy was 90.8%(89/98). Open operations were applied, instead of lithotripsy, on 2 cases with severe ureteral lumen stenosis and 1 case with severe ureteral distortion. There were 6 cases (6.1%) with residual calculi, which were completely cleared by extracorporeal shock wave lithotripsy (ESWL). No severe complications occurred. Conclusion The method of recumbent-lithotomy position ureteroscopic holmium laser lithotripsy has the advantages of small trauma, simple operation, precise effect, and quick recovery. It is a safe and effective treatment of upper ureteral calculi.