【摘要】 目的探讨输尿管软镜治疗解剖异常上尿路结石的应用。方法 2011年6月至2012年3月,采用输尿管软镜结合钬激光治疗解剖异常上尿路结石6例,结石大小0.8～1.8cm。逆行留置双J管2周后,术中先以输尿管软镜扩张鞘建立通道,使用200μm光纤行钬激光碎石,钬激光功率设定20～30W。结果结石寻及率100%,均一次手术成功。手术时间25～40min,术后住院时间2～4d,无明显并发症。术后3个月随访排石率满意。结论输尿管软镜下钬激光治疗解剖异常上尿路结石的疗效确切。更多还原

【Abstract】 Objective To evaluate the therapeutic effect of flexible ureteroscopy with holmium laser for upper urinary tract calculi with abnormal anatomy. Method The data of 6 patients with abnormal anatomy who underwent flexible ureteroscopy using a holmium laser from June 2011 to May 2012 were reviewed retrospectively. The calculi diameter was 0.8-1.8 cm. Routine double-J stent placement was performed 2 weeks before surgery. Before inserting the flexible ureteroscopy, a ureteral access sheath was placed in advance. Lithotripsy were finished by 20-30 walt holmium laser with 200 μm fiber within single operation. Result All calculi were located successfully. No significant complication happened. The operative time and hospital stay were 25-40 minutes and 2-4 days respectively. Calculi free rate was 100% 3 month postoperatively. Conclusion Flexible ureteroscopy with holmium laser is a safe, efficient and minimal invasive procedure for upper urinary tract calculi with abnormal anatomy.更多还原