CAJ | 학술논문

目的总结在输尿管镜联合钬激光治疗输尿管结石疗效，评价术后选择性留置双J管的效果。方法回顾性分析2008年10月至2012年8月间应用输尿管镜联合钬激光治疗输尿管结石共计254例患者临床资料。结果手术成功率93.3%(237/254),其中上段结石为71.9%(23/32),中段为93.2%(69/74),下段为97.9%(145/148)。失败17例。输尿管镜碎石术成功后留置双J管181例，时间平均为2-6周。未留置双J管59例。留置双J管组患者有7例患者发生较严重的肾绞痛及血尿。未留置双J管患者1例患者发生肾绞痛,1例出现发热。术后住院时间分别为3.7天。结论选择适合的病例,提高操作技巧,可以显著提高治疗输尿管镜碎石成功率。术后选择性留置双J管，可减少术后患者不良反应及经济费用。
목적총결재수뇨관경연합화격광치료수뇨관결석료효，평개술후선택성류치쌍J관적효과。방법회고성분석2008년10월지2012년8월간응용수뇨관경연합화격광치료수뇨관결석공계254례환자림상자료。결과수술성공솔93.3%(237/254),기중상단결석위71.9%(23/32),중단위93.2%(69/74),하단위97.9%(145/148)。실패17례。수뇨관경쇄석술성공후류치쌍J관181례，시간평균위2-6주。미류치쌍J관59례。류치쌍J관조환자유7례환자발생교엄중적신교통급혈뇨。미류치쌍J관환자1례환자발생신교통,1례출현발열。술후주원시간분별위3.7천。결론선택괄합적병례,제고조작기교,가이현저제고치료수뇨관경쇄석성공솔。술후선택성류치쌍J관，가감소술후환자불량반응급경제비용。
Objective To summarize the data of 254 patients with ureteral calculi treated with holmium laser lithotripsy under ureteroscope .evaluate the efficacy of the D-J stent was placed selective after opertion. Methods Clinical data of 254 patients with ureteral calculi treated with holmium laser lithotripsy under ureteroscope during Oct.2008 to Aug.2010 were retrospectively analyzed. Results The overall stone-free rate was 93.3% (237/254).The success rate was71. 9% (23/32) in the upper segment, 93.2% (69/74)in themiddle segment, and 97.9% (145/148) in the lower segment. The procedure failed in 12 patients.181 patients were placed D-J stent,the time was 2-6 weeks.No D-J stent was placed after opertion in 59 patients.7 cases had nephriccolic and serious hematuresis in the patients with D-J stent. 2cases had nephriccolic and fever in the patients without D-J stent. Hospital stay after operation was 3.7days. Conclusion Choosed the suitable patents and enhanced operaton skill, the success rate wll be increased. The D-J stent was placed selective after opertion,it can decrease the complications and expenses of medcal.