CAJ | 학술논문

目的：探讨分析重复输尿管畸形合并上尿路结石应用输尿管软镜钬激光碎石的治疗效果。方法选取我院2013年1月～2014年4月收治的重复输尿管畸形合并上尿路结石患者20例，对应用输尿管软镜钬激光碎石治疗后的临床资料进行回顾性分析，并对其进行3～16个月的随访，观察其治疗效果。结果18例患者软镜下碎石成功，住院时间为40～90 min，平均住院时间（58.6±4.1）min。另外2例患者，由于输尿管狭窄，经扩张后仍不能置入输尿管软镜鞘，选择经皮肾镜碎石手术治疗。20例患者术后1个月的结石排净率为95%。结论对重复输尿管畸形合并上尿路结石患者，采用输尿管软镜钬激光碎石进行治疗较为安全，具有良好的治疗效果。
목적：탐토분석중복수뇨관기형합병상뇨로결석응용수뇨관연경화격광쇄석적치료효과。방법선취아원2013년1월～2014년4월수치적중복수뇨관기형합병상뇨로결석환자20례，대응용수뇨관연경화격광쇄석치료후적림상자료진행회고성분석，병대기진행3～16개월적수방，관찰기치료효과。결과18례환자연경하쇄석성공，주원시간위40～90 min，평균주원시간（58.6±4.1）min。령외2례환자，유우수뇨관협착，경확장후잉불능치입수뇨관연경초，선택경피신경쇄석수술치료。20례환자술후1개월적결석배정솔위95%。결론대중복수뇨관기형합병상뇨로결석환자，채용수뇨관연경화격광쇄석진행치료교위안전，구유량호적치료효과。
Objective To investigate the effect of ureteral calculi holmium laser lithotripsy in the treatment of ureteral calculi.Methods A retrospective analysis was made on 20 patients of upper urinary tract calculi treated in our hospital from January 2013 to April 2014. The clinical data were retrospectively analyzed,and folow up for 3 to 16 months.Results 18 cases of patients with soft lens lithotripsy success, the length of hospital stay was 40 to 90 min, the average length of stay (58.6±4.1) min. In the other 2 cases because of the ureteral stricture, the soft sheath of the ureter can not be put into the ureter. 20 cases of patients after 1 months for surgery,the stone drain rate was 95%.ConclusionHolmium laser lithotripsy in treatment of the patients with upper urinary tract calculi is safe and has good therapeutic effect.