【摘要】 目的 探讨复杂性输尿管结石经钬激光腔内治疗的有效性及安全性。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复杂性输尿管结石87例的临床资料。87例均伴有患侧轻～中度肾盂积水，其中46例合并结石远端输尿管狭窄，69例合并有息肉或肉芽组织包裹，21例为ESWL治疗失败后。结果 87例中83例单次手术碎石成功，单次手术结石粉碎率达95.4%(83/87)，2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 输尿管镜下钬激光碎石术治疗复杂性输尿管结石安全、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；复杂性输尿管结石

    Treatment of ureteral complicated calculi with Holmium laser lithotripsy:a report of 87 cases

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

    Department of Urology，363th Hospital，Chengdu 610041,China

    【Abstract】 Objective To evaluate the therapeutic effect and safety of Holmium laser on the endoscopic treatment of ureteral complicated calculi.Methods Investigated the clinical material on Holmium:YAG laser endoscopic treatment of 87 cases with ureteral complicated calculi between December 2003 to May 2005.All 87 cases have hydronephrosis. Among them，46 cases with ureteral stricture ......