The Clinical Observation of Holmium Laser Lithotripsy under Ureteroscope in the Treatment of Ureteral Calculi

YIN Rong; YU Hong-qi

Abstract：Objective:To investigate the clinical effect of holmium laser lithotripsy transurethral ureteroscope in the treatment of ureteral calculi.Method:A total of 102 patients with holmium laser lithotripsy under ureteroscope in our hospital from January 2013 to January 2014 were selected,and the clinical data were analyzed retrospectively,and the processing method,curative effect and complications were summarized.Result:In 102 patients of this group,the once gravel success rate was 99.0%.The operation time was 20-120 min,average time was 50 min,the upper ureteral calculi operation time was long,it was 60-120 min,the average time was 87 min.Postoperative hospital stay was 3-5 days,the average number of days for 4.5 days.In operation,3 cases were ureteral perforation,1 case was submucosal false passage.One case because of ureteral stricture for holmium laser urethrotomy patients,postoperative 2 months again for ureteral stricture,once again underwent holmium laser urethrotomy.Double J tube indwelled for 3 months,after extubation were followed up for six months without stenosis.Conclusion:Under ureteroscope holmium laser lithotripsy for ureteral calculi is a safe,effective method for the treatment,it has the advantages of small trauma,quick recovery,less complications,can the gravel,removal of polyps,treatment of ureteral stricture.