CAJ | 학술논문

目的：探讨输尿管镜下钬激光联合超声碎石治疗输尿管结石的方法和疗效。方法：采用输尿管镜下钬激光联合超声碎石治疗输尿管结石163例，结石直径5～17 mm，其中上段结石51例，中段结石52例，下段结石60例。常规放置5～7F双J管于术后1～4周拔除，应用抗生素预防感染。结果：结石一次性成功取出155例占95.09％，8例失败术中转PCNL、开放手术或留置双J管再行ESWL后结石排净。无输尿管穿孔撕脱及泌尿系严重感染等并发症。结论：输尿管镜下钬激光联合超声碎石治疗输尿管结石效率高、结石清除彻底、安全有效。
목적：탐토수뇨관경하화격광연합초성쇄석치료수뇨관결석적방법화료효。방법：채용수뇨관경하화격광연합초성쇄석치료수뇨관결석163례，결석직경5～17 mm，기중상단결석51례，중단결석52례，하단결석60례。상규방치5～7F쌍J관우술후1～4주발제，응용항생소예방감염。결과：결석일차성성공취출155례점95.09％，8례실패술중전PCNL、개방수술혹류치쌍J관재행ESWL후결석배정。무수뇨관천공시탈급비뇨계엄중감염등병발증。결론：수뇨관경하화격광연합초성쇄석치료수뇨관결석효솔고、결석청제철저、안전유효。
Objective:To investigate the method and efficacy of ureteroscopic holmium laser combined with ultrasound lithotripsy for treating ureteral calculi.Methods:163 cases of ureteral calculi were treated with ureterosopic holmium laser combined with ultrasound lithotripsy.The greatest dimension of the calculus ranged from 5 to 17 mm.The calculus were located in upper ureter in 51 cases,middle ureter in 52 cases,lower ureter in 60 cases.5 ~7F double J tube were put in routine place postoperative 1~4 weeks, antibiotics was used to prevent infection.Results:The calculi clearance rate was 95.9% (155/163) once,8 cases of failure were changed to PCNL ,open operation or double J tube and ESWL treatment , no the complications such as perforation avulsed ureter and urinary severe infection.Conclusion:The holmium laser combined ultrasound lithotripsy is a safe and effective for treating ureteral calculi ,and calculi removes completely.