【摘要】 目的 探讨经输尿管硬镜联合钬激光腔内治疗输尿管结石的有效性及安全性。 方法 回顾性分析2003年12月～2005年5月收治的经输尿管镜钬激光治疗输尿管结石267例的临床资料。其中107例伴有患侧轻～中度肾盂积水， 66例同时合并结石远端输尿管狭窄，79例合并有息肉或肉芽组织包裹，71例为体外冲击波碎石(ESWL)治疗失败后。结果 267例中243例单次手术碎石成功，单次手术结石粉碎率达91.0%(243/267)，22例结石在钬激光碎石过程中移位于肾盏，术后再行ESWL治疗；1例进镜时输尿管穿孔，1例术中退镜时输尿管黏膜撕脱改为开放手术。结论 输尿管硬镜联合钬激光碎石术治疗输尿管结石安全、有效，尤其适用于体外冲击波碎石效果不佳的患者。

    【关键词】 钬激光碎石术；输尿管结石

    Treatment of ureteral complicated calculi with Holmium laser lithotripsy:a report of 267 cases

    LIU Dong-liang，SHI Fou， ZHOU Kai-hua，et al.

    363rd Hospital，Chengdu 610041，China

    【Abstract】 Objective To evaluate the therapeutic effect and safety of Holmium laser on the endoscopic treatment of ureteral calculi.Methods Investigated the clinical material on Holmium laser endoscopic treatment of 267 cases with ureteral complicated calculi between December 2003 to May 2005. Among them,107 cases have hydronephrosis,66 cases of ureteral stricture ......