细输尿管镜钬激光碎石术在一期治疗输尿管结石并狭窄的初步经验
Preliminary experience of one-stage fine ureteroscopic holmium laser treatment for ureteral calculi with strictures
赵纪宇 1张军 1刘佳 1王凯歌 1谷现恩1
作者信息
- 1. 清华大学附属垂杨柳医院 泌尿外科,北京 100022
- 折叠
摘要
目的 探讨F6.0/7.5细输尿管镜钬激光碎石术在一期治疗输尿管结石伴狭窄中的应用价值及可行性.方法 选取2015年3月至2019年10月清华大学附属垂杨柳医院收治的79例输尿管结石患者作为研究对象,采用F8.0/9.8标准输尿管镜,因输尿管狭窄导致上镜失败,一期采用F6.0/7.5细输尿管镜钬激光碎石术治疗.分析手术疗效及随访结果.结果 79例患者中,一期手术成功率为84.8％(67/79).术后随访显示,无严重并发症如输尿管穿孔或撕脱发生.随访期1个月内,结石清除率为87.3％(69/79).结论 F6.0/7.5细输尿管镜钬激光碎石术在一期治疗输尿管结石合并狭窄是安全、有效且经济的手术方式.在标准输尿管镜无法通过时,该术式是一种良好的替代方法.
Abstract
Objective To investigate the application value and feasibility of using a F6.0/7.5 fine ureteroscope combined with holmium laser lithotripsy for one-stage treatment of ureteral calculi with concurrent strictures.Methods The study enrolled 79 patients with ureteral calculi treated in Chuiyangliu Hospital Affiliated to Tsinghua University between March 2015 and October 2019.Standard F8.0/9.8 ureteroscope failed to be inserted due to ureteral strictures.The F6.0/7.5 fine ureteroscope combined with holmium laser lithotripsy was utilized as a single-stage procedure.Surgical outcomes and follow-up data were subsequently analyzed.Results The success rate of the one-stage surgery was 84.8％(67/79).Postoperative follow-up revealed no severe complications,such as ureteral perforation or avulsion,occurred during the procedures.At the one-month follow-up,the overall stone-free rate was 87.3％(69/79).Conclusions The use of a F6.0/7.5 fine ureteroscope combined with a 200 μm laser fiber is a safe,effective,and cost-effective method for one-stage treatment of ureteral stones and strictures.This approach represents a viable alternative when standard ureteroscope cannot be inserted.
关键词
细输尿管镜/输尿管狭窄/输尿管结石/钬激光碎石术Key words
Fine ureteroscope/Ureteral stricture/Ureteral calculus/Holmium laser lithotripsy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据