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目的探讨针对肾与输尿管上段结石患者,采用输尿管软镜配合钬激光进行治疗后获得的效果表现。方法选取2013年9月～2014年4月衡阳市中心医院收治的肾与输尿管上段结石患者180例,直径0.7～2.5cm。通过预留DJ管进行输尿管扩张7～14d之后,为患者进行输尿管软镜导引鞘的留置,有效发现结石后,通过200μm的光纤在20×1.0W的钬激光配合下完成碎石,在完成手术后的28d,对患者进行腹部平片的复查,有效对患者碎石的完成情况进行评估。结果针对患者采用输尿管软镜配合钬激光进行单次手术碎石,最终能够获得较高的成功率,患者住院的时间也较短,具有较多的优点。结论针对肾与输尿管上段结石患者,采用输尿管软镜结合钬激光碎石术进行治疗,最终获得的疗效表现确切,患者在术后几乎不会出现严重的并发症。
Objective To investigate the effect of ureteroscopic ureteroscopic holmium laser treatment on patients with upper ureter and upper ureteral calculi. Methods From September 2013 to April 2014, 180 patients with upper ureteral calculi in Hengyang Central Hospital were enrolled, with a diameter of 0.7 ~ 2.5cm. After reserving the ureteral dilatation by DJ tube for ureteral dilatation 7 ~ 14d, ureteroscopic urethral catheterization was performed for the patient. After the effective detection of the stone, the gravel was completed by 200μm optical fiber with 20 × 1.0W holmium laser, 28d after surgery, the patient’s abdominal plain film review, effectively assess the completion of the patient’s gravel. Results The patients were treated with ureteroscope combined with holmium laser for a single operation of gravel, and ultimately to obtain a higher success rate, the patient hospitalization time is shorter, with more advantages. Conclusions For the patients with upper ureteral calculi and renal calculi, ureteroscopic combined with holmium laser lithotripsy was used to treat the patients. The curative effect was confirmed finally. There was almost no serious complications after operation.