输尿管管路封堵器联合钬激光治疗输尿管中上段结石32例效果分析

Analysis of ureteral occlusion device combined with holmium laser in the treatment of middle or upper ureteral calculi in 32 cases

摘要:

目的：探讨输尿管管路封堵器联合钬激光治疗输尿管中上段结石的疗效。方法：回顾性分析32例输尿管中上段结石患者的临床资料，分析术中结石清除效果以及术中并发症发生情况。结果：1例患者因术中结石上移入肾下盏而改为输尿管软镜以钬激光碎石，结石漂移率为3.2%。其余31例患者均成功置入输尿管管路封堵器，所有患者术中均未出现输尿管穿孔或输尿管黏膜撕脱等并发症。术后1月行尿路平片检查，除1例肾下盏结石尚未排出外，余31例均无结石残留，结石清除率为96.8%。结论：输尿管管路封堵器能显著减少输尿管中上段结石在碎石过程中漂移，提高结石清除率，临床应用价值高。

Abstract:

Objective：To investigate the curative effect of ureteral occlusion device combined with holmium laser in the treatment of upper or middle urethral stones. Methods：Clinical data of 32 patients with upper or middle urethral calculi were analyzed retrospec－tively. Effects of stone cleaning and intra-opertive complication were observed. Results：One patient used flexible ureteroscope and holmium laser lithotripsy due to the migration of calculi into renal calices，with calculi migration rate of 3.2%. Urethral occlusion de－vice was set successfully in other thirty-one cases. There was neither perioperative mucous membrane nor urethra perforation. At one month postoperatively，one patient can not remove calculi in the renal calices and all other patients had no calculi residual，with clearance rate of 96.8%. Conclusion：Urethral occlusion device can significantly decrease calculi migration during lithotrity process in the upper or middle urethra and can improve calculi clearance rate，therefore has satisfactory clinical value.