ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ SỎI NIỆU QUẢN 1/3 TRÊN BẰNG NỘI SOI TÁN SỎI VỚI NĂNG LƯỢNG HOLMIUM LASER TẠI BỆNH VIỆN NINH THUẬN

Abstract

Background: Retrograde ureteroscopic Holmium laser lithotripsy is a minimally invasive and effective method, but further evaluation is needed for upper third ureteral stones. Objective: To evaluate the outcomes of upper third ureteral stone treatment using retrograde ureteroscopic Holmium laser lithotripsy at Ninh Thuan General Hospital. Patients and Methods: A prospective study on 40 patients with upper third ureteral stones (5–15 mm) treated by retrograde ureteroscopic Holmium laser lithotripsy. Outcomes included stone access, lithotripsy time, complications, and treatment efficacy. Results: Mean age was 48.9 ± 13.3 years, with 60% male and 40% female. Successful ureteroscopic access was achieved in all patients (100%). Mean lithotripsy time was 37.2 ± 12 minutes. JJ stent placement was performed in 97.5% of patients. Major complications such as ureteral perforation were not observed; bleeding occurred in 7.5%, and prolonged hematuria in 2.5%. Conclusion: Retrograde ureteroscopic Holmium laser lithotripsy for upper third ureteral stones is effective and safe, with short operative time and low complication rates. JJ stent placement facilitates stone clearance and protects the ureter.