【摘要】 目的 探讨输尿管镜下钬激光治疗输尿管结石致输尿管损伤发生的原因和防治措施。方法 对656例输尿管镜下钬激光治疗输尿管结石术中发生的23例输尿管损伤进行了回顾性研究。结果 本组23例,输尿管穿孔20例,其中2例改开放手术;输尿管黏膜下假道1例;输尿管黏膜撕脱2例,均改开放手术。结论 钬激光不是绝对安全的,在治疗输尿管结石术中正确使用钬激光及输尿管镜能避免大多数输尿管损伤。
【关键词】 输尿管结石;钬激光;输尿管镜术;输尿管损伤
Cause,treatment and prevention of ureteral injury of holmium:YAG laser ureteroscopic lithotripsy of ureteral calculi (report of 23 cases)
[Abstract] Objective To study the cause of ureteral injuries of holmium:YAG laser ureteroscopic lithotripsy of ureteral calculus and discuss how to prevent and reduce them.Methods 23 cases of ureteral injuries were retrospectively analyzed.Results Of all the cases,20 cases of ureteral perforation,1 case of submucous false passage,2 cases of ureteral mucosa avulsion occurred.Conclusion The skilled operation and the strict grasp of indication is the key to reduce ureteral injuries.
[Key words] ureteral calculus;ureteroscopy;laser lithotripsy;injury
由于输尿管镜下钬激光碎石术的微创性及操作易学性,该手术已广泛开展,逐渐取代传统术式,成为一种常见手术。而手术者缺乏对钬激光工……
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