Gupta Pawan Kumar
R.P. Stone Clinic (P) Ltd., Panipat, India.
J Endourol. 2007 Mar;21(3):305-9. doi: 10.1089/end.2006.0247.
To study the efficiency and safety of holmium:YAG laser lithotripsy for ureteral stones.
A series of 188 patients with 208 ureteral stones were treated with semirigid ureteroscopy and holmium:YAG laser lithotripsy from January 2003 to December 2005. Of the stones, 116 were lower ureteral, 37 middle ureteral, and 55 upper ureteral.
The success rate was 92.7% at the time of ureteroscopy and 96.7% at 3 months. The failures were secondary to retropulsion of the stones (3.3%). There were no perforations and one stricture. Stenting was done in 90% of patients.
The Holmium:YAG laser is an ideal intracorporeal lithotripter for ureteral calculi, with a high success rate and low morbidity.
研究钬激光碎石术治疗输尿管结石的有效性和安全性。
2003年1月至2005年12月期间，对188例患有208枚输尿管结石的患者采用半硬性输尿管镜及钬激光碎石术进行治疗。其中，输尿管下段结石116枚，中段结石37枚，上段结石55枚。
输尿管镜检查时成功率为92.7%，3个月时为96.7%。失败原因主要是结石回推（3.3%）。无穿孔发生，仅有1例狭窄。90%的患者进行了支架置入。
钬激光是治疗输尿管结石的理想体内碎石工具，成功率高且并发症发生率低。
