Ureteroscopic Holmium Laser Lithotripsy for Ureteral Calculi after Failure of ESWL:Report of 89 Cases
- VernacularTitle:输尿管镜钬激光碎石术治疗体外冲击波碎石失败的输尿管结石89例报告
- Author:
Qiang SUN
;
Jianwei HAO
;
Kai TIAN
- Publication Type:Journal Article
- Keywords:
Ureteral calculi;
Ureteroscopy;
Holmium laser lithotripsy;
Extracorporeal shock-wave lithotripsy
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of ureteroscopic holmium laser lithotripsy for ureteral calculi after failed extracorporeal shock-wave lithotripsy(ESWL).Methods A total of 89 patients with ureteral calculi were treated by ureteroscopic holmium YAG laser lithotripsy after failed ESWL.Among them,69 cases were complicated with ploypi or calculi surrounded by granuloma tissues,which were melted by holmium laser simultaneously;4 cases were complicated with distal ureteral stenosis,and received open surgery for resection of the stenotic segment.Results Of the patients,calculi were fragmented by one operation in 81 cases.The success rate was 91%.67 cases were stone free in one week and 14 cases in two weeks.In 4 cases,calculi were flushed into the pelvis,and were cured by open surgery.Conclusions Ureteroscopic holmium laser lithotripsy is an effective and safe method for ureteral calculi after failed ESWL.It should be used as the first choice for the disease.
