Rigid ureteroscope Mirror treatment of ureteral calculi with holmium laser.docVIP

 PAGE \* MERGEFORMAT 3 Rigid ureteroscope Mirror treatment of ureteral calculi with holmium laser [Abstract] Objective To evaluate the holmium laser lithotripsy of ureteral stones efficacy and safety. Methods rigid ureteroscope and holmium laser on 235 cases of ureteral calculi in patients with lithotripsy. Stone diameter 3-15mm, longitudinal diameter 8-35mm. 130 patients with solitary stones, 36 cases of upper, middle 55 cases, 39 cases of lower segment. Multiple stones (one side or both with multiple ureteral stones) of 105 cases. Results of 212 cases operation was successful (90.2%). Operative time was 15-135min, an average of 45min. 179 cases of 2-6 weeks, all the row of stone net (84.4%). Conclusion ureteroscopic holmium laser lithotripsy of ureteral calculi safe and effective. [Keywords:] Ureteral calculi In our hospital from March 2005 -2,005 years in December holmium laser treatment of ureteral calculi application of 235 cases, satisfactory results are reported below. 1 Data and methods 1.1 The clinical data of 235 cases of ureteral calculi in this group of patients, male 122 cases, 113 cases of women; aged 14-86 years, mean 46.2 years old; stone diameter 3-15mm, longitudinal diameter 8-35mm. 130 patients with solitary stones, 36 cases of upper, middle 55 cases, 39 cases of lower segment. Multiple stones (one side or both with multiple ureteral stones) of 105 cases. 187 cases of ureteral polyps combined. ESWL treatment of 157 cases ineffective. Zeng OK ureterolithotomy surgery 85 cases. Preoperatively in all cases were characterized by B ultrasound, intravenous urography and retrograde catheterization angiography, CT diagnosis of ureteral stones, etc., have varying degrees of hydronephrosis and ureteral stones, as well as expansion, of which 78 cases of severe hydronephrosis, stone obstruction with 84 patients suffering from renal insufficiency. 1.2 Treatment-line continuous epidural anesthesia or spinal anesthesia. Take lithotomy position, under