Urology Department, Dongguan Songshan Lake Central Hospital, Dongguan, Guangdong, China.
J Int Med Res. 2024 Sep;52(9):3000605241275333. doi: 10.1177/03000605241275333.
To identify the factors influencing postoperative ureteral stenosis following holmium laser lithotripsy.
A retrospective study was conducted of 106 patients who underwent ureteroscopic holmium laser lithotripsy. The effects of variables including stone location, stone size, the duration of surgery, water intake, disease duration, and stone-associated polyps were investigated.
Logistic regression analysis revealed significant associations of ureteral stenosis with stone location, stone size, duration of surgery, water intake, disease duration, and stone-associated polyps. Patients with proximal stones, with large stones, who underwent long surgical procedures, who drank a large amount of water, who had long-term disease, and who had stone-related polyps were more likely to develop postoperative ureteral stenosis.
Significant perioperative complications of holmium laser lithotripsy are associated with prolonged disease, large ureteral stones, long incarceration periods, and the presence of polyps. Surgeons should consider these risk factors during the preoperative evaluation of patients and surgical planning to minimize the risk of postoperative ureteral stenosis.
探讨钬激光碎石术后输尿管狭窄的影响因素。
回顾性分析 106 例行输尿管镜下钬激光碎石术患者的临床资料，分析结石位置、结石大小、手术时间、饮水量、病程、结石合并息肉等变量对术后输尿管狭窄的影响。
Logistic 回归分析显示，输尿管狭窄与结石位置、结石大小、手术时间、饮水量、病程、结石合并息肉有关。近端结石、结石较大、手术时间较长、饮水量较大、病程较长、结石合并息肉的患者更容易发生术后输尿管狭窄。
钬激光碎石术有显著的围手术期并发症，与疾病时间长、输尿管结石大、嵌顿时间长和息肉有关。在术前评估和手术规划时，外科医生应考虑这些危险因素，以尽量降低术后输尿管狭窄的风险。
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