NForce取石网篮联合钬激光治疗输尿管结石71例

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Abstract Objective To evaluate the applicability of NForce stone extraction baskets combined with ureteroscopic holmium laser lithotripsy in ureteroscopic lithotripsy. Methods The clinical data on 71 patients who underwent ureteroscopic lithotripsy combined with NForce stone extraction baskets was collected in Hospital 904 of Joint Logistic Support Force of PLA between June 2018 and July 2020. The average age of these patients was (45.80±11.99) years old. the average diameter of stones was (13.05±4.30)mm, the maximum diameter was 27.97 mm, the average surface area was (66.86±60.04)mm², and the CT average value was (447.68±286.50)HU. All the operations were performed by the same surgeons. Patients whose postoperative follow-up KUB showed that the diameter of the stone was <4 mm and who were asymptomatic were considered cases of complete stone clearance. Finally, the stone clearance rate and incidence of complication of these patients were analyzed. Results All the operations were successful, and the primary stone clearance rate was 93.0%. Two patients had ureteral perforation. Moreover, two patients had nitinol wire breakage, one of whom was treated with translumbar ureterotomy for foreign body removal and the other with ureteroscopic foreign body clamp removal. By prolonging the double J tube time, no ureteral stenosis was found during subsequent visits. Conclusions The NForce stone basket combined with ureteroscopic holmium laser lithotripsy is highly effective and safe, which is a reliable approach to ureteral calculi.

Key words： NForce stone basket ureteral stones holmium laser lithotripsy

Received: 12 April 2021

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	LIU Junqiang
	DING Jun
	SUN Jianming
	ZHU Xuming

Cite this article:

LIU Junqiang,DING Jun,SUN Jianming等. Clinical application of NForce stone retrieval baskets combined with holmium laser in the treatment of 71 cases of ureteral calculi[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(3): 219-221.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I3/219

[1]	赵晓风, 贾连城, 李伟光, 等. 经尿道钬激光联合锥型取石网(Stone cone)治疗输尿管上段结石[J]. 中国微创外科杂志, 2020,26(6):523-526.
[2]	Reddy T G, Assimos D G. Optimizing stone-free rates with ureteroscopy[J]. Rev Urol, 2015,17(3):160-164.
[3]	徐晓龙, 史向民, 苏雁峰, 等. 输尿管镜钬激光联合封堵导管、负压吸引管治疗输尿管上段结石[J]. 中华腔镜泌尿外科杂志(电子版), 2015,9(6):31-34.
[4]	Elashry O M, Tawfik A M. Preventing stone retropulsion during intracorporeal lithotripsy[J]. Nat Rev Urol, 2012,9(12):691-698.
[5]	沈泽, 张春平, 李成宏, 等. 输尿管上段结石伴肾盂中重度积水两种内镜应用效果比较[J]. 武警医学, 2015,26(9):914-916.
[6]	Feng C, Ding Q, Jiang H, et al. Use of NTrap during ureteroscopic Holmium:YAG laser lithotripsy of upper ureteral calculi[J]. Minim Invasive Ther Allied Technol, 2012,21(2):78-82.
[7]	李小华, 王喻, 张旭, 等. 取石网篮与传统取石钳在输尿管镜碎石术中的对比研究[J]. 中华腔镜泌尿外科杂志(电子版), 2016,10(6):398-401.
[8]	张洪波, 高翔, 马江伟, 等. 硬性输尿管镜钬激光碎石术医源性输尿管损伤原因分析和处理研究[J]. 微创泌尿外科杂志, 2017,6(2):102-105.
[9]	黄建生, 房杰群, 余舟, 等. 两种套石网篮在输尿管软镜碎石取石术中应用的对比研究[J]. 重庆医科大学学报, 2018,43(4):573-575.
[10]	任毅馨,江锋, 杨精华, 等. 镜下镍钛合金取石篮配合钬激光碎石治疗输尿管上段结石98例[J]. 南华大学学报(医学版), 2008,36(5):625-626.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(2): 163-165.