局麻下输尿管镜钬激光碎石术治疗输尿管结石的经验总结

doi:10.3969/j.issn.1671-7171.2026.07.027

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Abstract 【Objective】 To explore the feasibility and safety of ureteroscopic holmium laser lithotripsy (URSL) under local anesthesia in the treatment of ureteral calculi. 【Methods】 The clinical data of 52 patients with ureteral calculi who received URSL under local anesthesia in The Third People’s Hospital of Hunan Province from January 2023 to September 2025 were retrospectively analyzed. Perioperative indicators, surgical outcomes, postoperative complications and patient satisfaction were compared. 【Results】 The average stone diameter of the 52 patients was (7.12±3.36) mm. All operations were completed under local anesthesia, including 42 cases of rigid ureteroscopic holmium laser lithotripsy and 10 cases of flexible ureteroscopic holmium laser lithotripsy. The mean operative time was (13.27±6.17) min; the operative time of male patients [(19.71±6.52) min] was significantly longer than that of female patients [(11.13±5.01) min] (P<0.05). The average intraoperative VAS score was (2.67±2.89) points, and the mean intraoperative VAS score of males [(5.50±1.50) points] was higher than that of females [(1.66±1.99) points] (P<0.05). The incidence of moderate to severe intraoperative pain in males was 72.22% (13/18), which was higher than 23.53% (8/34) in females (P<0.05). No severe intraoperative or postoperative complications occurred, and the early stone clearance rate reached 100%. The average satisfaction score of female patients was statistically higher than that of males (P<0.05). 【Conclusions】 URSL under local anesthesia is safe and efficient for ureteral calculi, especially suitable for mid and distal ureteral stones. Benefiting from anatomical advantages, female patients experience milder pain and shorter operation time with higher satisfaction, and can be taken as the priority recommended population.

Key words： Ureteral Calculi Ureteroscopy Lithotripsy,Laser

Received: 22 September 2025

PACS:

R692.4

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	Articles by authors
	HE Yujie
	PENG Yang
	WANG Ziming
	ZHANG Dingrong
	REN Lin
	ZENG Zhiheng
	LI Hao
	YU Bin
	WANG Huan

Cite this article:

HE Yujie,PENG Yang,WANG Ziming, et al. Experience Summary of Ureteroscopic Holmium Laser Lithotripsy under Local Anesthesia for Ureteral Calculi[J]. JOURNAL OF CLINICAL RESEARCH, 2026, 43(7): 1152-1155.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2026.07.027 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2026/V43/I7/1152

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