KẾT QUẢ ĐIỀU TRỊ TÁN SỎI NỘI SOI SỎI NIỆU QUẢN ĐOẠN 1/3 TRÊN BẰNG NĂNG LƯỢNG HOLMIUM YAG LASER TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Background: Ureteral stone is a common disease, the traditional and invasive treatments such as open and laparoscopic surgery have been gradually abandoned. Currently, ureteroscopic retrograde lithotripsy with laser energy has proven many advantages, and was the first choice in the management of ureteral stones. According to location, upper ureteral stones were highly difficult to be managed by retrograde endoscopic lithotripsy. Objectives: evaluating the safety and effectiveness of upper ureteral stones treatment by Holmium YAG Laser retrograde ureteroscopic lithotripsy. Materials and methods: A prospective, cross – sectional descriptive study, from April 2018 to April 2019, 51 patients with upper ureteral stones were treated by Holmium YAG Laser retrograde ureteroscopic lithotripsy. The study was performed at Can Tho Central General Hospital. Results: A total of 51 patients was included in the study, of which 28 male (54.9%) and 23 females (45.1%); the mean age was 48.7 ± 13 years old. Successful results were 94.1% (48 cases); 5.9% (3 cases) failed due stones running back to the kidneys and we had to perform additional extracorporeal lithotripsy. There is no severe complication. Conclusion: Laser lithotripsy for upper ureteral stone is a safe and effective procedure.