输尿管镜钬激光碎石术治疗体外冲击波碎石术后输尿管石街有效。
Ureteroscopic Holmium:YAG laser lithotripsy is effective for ureteral steinstrasse post-SWL.
作者信息
Feng Chenchen, Wu Zhong, Jiang Haowen, Ding Qiang, Gao Peng
机构信息
Department of Urology, Huashan Hospital, Fudan University , Shanghai , China.
出版信息
Minim Invasive Ther Allied Technol. 2013 Sep;22(5):279-82. doi: 10.3109/13645706.2012.762026. Epub 2013 Jan 16.
OBJECTIVE
To evaluate the efficacy of Holmium: YAG laser lithotripsy for ureteral steinstrasse after extracorporeal shock lithotripsy (SWL).
MATERIAL AND METHODS
Holmium: YAG laser lithotripsy was performed on 21 patients who had developed ureteral steinstrasse post-SWL.
RESULTS
Nineteen cases had successful treatment. The ureteral steinstrasse was cleared within one month after the treatment (success rate of 90.48%). Upper ureteral steinstrasse shifted to the renal pelvis was noted in one patient, who underwent a second SWL treatment. Another patient had a severely kinking ureter and underwent open surgery after ureteroscopy failed.
CONCLUSION
Holmium: YAG laser lithotripsy of ureteral steinstrasse post-SWL is an effective clinical modality due to its high success rate, short lithotripsy time, high safety and reliability, and easy feasibility.
目的
评估钬激光碎石术治疗体外冲击波碎石术（SWL）后输尿管铸型结石的疗效。
材料与方法
对21例SWL术后发生输尿管铸型结石的患者进行钬激光碎石术。
结果
19例治疗成功。治疗后1个月内输尿管铸型结石清除（成功率90.48%）。1例患者上输尿管铸型结石移位至肾盂，接受了第二次SWL治疗。另1例患者输尿管严重扭曲，输尿管镜检查失败后接受了开放手术。
结论
钬激光碎石术治疗SWL后输尿管铸型结石是一种有效的临床治疗方式，因其成功率高、碎石时间短、安全性和可靠性高且易于实施。
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