Treating Upper Ureteral Calculi by Ureteroscope with Holmium Laser Lithotripsy (Report of 52 Cases)
10.3969/j.issn.1001-1420.2009.07.017
- VernacularTitle:输尿管镜钬激光碎石术治疗输尿管上段结石52例报告
- Author:
AO JINGSONG
1
;
TAN JUNWU
;
YU WEIMIN
;
WANG BO
;
CHENG FAN
Author Information
1. 湖北省武汉市江夏区第一人民医院
- Keywords:
upper ureteral calculi;
holmium laser;
ureteroscope
- From:
Journal of Clinical Urology
2009;24(7):533-534
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of ureteroscopic holmium laser Iithotripsy for treatment of upper ureteral calculi. Methods:The clinic data of 52 cases of upper ureteral calculi treated by ureteroscope with holmium laser lithotripsy were retrospectively analyzed. There are 2 cases of bilateral upper ureteral calculi, and the total number of left upper ureteral calculi was 30, and the right side of 24. The size of the stones were (0.4～1.7) cruX (0.6～2.0) cm. Resuits:The overall successful operation rate for all upper ureteral calculi stones in single procedure was 98.1% (53/54), except 1 due to ureteral stenosis converted to open surgery. The average operation time was about 28 min(17～65 min). Fellowed up after one month, one-time stone-free rate was 90.6%(48/53), 5 eases of patients with residual calculi re-tained double-J tube and performed extracorporeal lithotripsy. Fellowed up after three months, ipsilateral hydronephrosis in all patients was significantly alleviated. Conclusions: Treatment of upper ureteral calculi by ureteroscopie holmium laser lithotripsy is safe and effective, which could be preferred used as endoscopic treatment of upper ureteral calculi.
