中国医学创新Issue(28)：32-33,34,3.DOI:10.3969/j.issn.1674-4985.2013.28.013
输尿管硬镜碎石中的困难与方法探讨
Difficulties and Methods Investigation of Holmium Laser Lithotripsy Under the Ureteroscope
陈健 1陈群 1丁睿 1杨玉成 1谭广兴1
作者信息
- 1. 南京中医药大学附属无锡市中医医院 江苏 无锡 214000
- 折叠
摘要
Abstract
Objective:To analyze various reason of difficulties and failure encountered in the treatment of ureteral calculus by using holmium laser lithotripsy under the ureteroscope,so as to find solutions.Method:The clinical data of 108 patients who underwent holmium laser lithotripsy under the ureteroscope for ureteral calculus were analyzed and had difficulties in ureteroscope-inserting and stone-breaking different degrees from May 2003 to July 2012.Result:Among the 108 cases,35 cases were caused by abnormal opening of the ureters(including 33 cases of narrow ureteral orifice and 2 cases of orifice cyst).Urethral calculus was wrapped by polypus in 23 cases,27 cases were resulted from upper-ureteral calculus accompanied and the ureters below were tortuous or narrow;ureteroscope were wrapped by ureters in 3 cases,which led to difficulties in inserting and withdrawing the ureteroscope;the stone moved from upper ureters up to renal pelvis happened in 20 cases.Conclusion:In the treatment of ureteral calculus by using holmium laser lithotripsy under the ureteroscope,some difficulties occurre,such as ureteroscope-inserting block,difficulty on stone-breaking,stone returning to renal pelvis easily and so on.Correct approaches could improve the effectivity and security of the surgery,and decrease the risk of it.关键词
输尿管结石/输尿管硬镜/钬激光Key words
Ureteral calculus/Ureteroscope/Holmium laser引用本文复制引用
陈健,陈群,丁睿,杨玉成,谭广兴..输尿管硬镜碎石中的困难与方法探讨[J].中国医学创新,2013,(28):32-33,34,3.
