Abstract: Objective To Summarize the clinical experience and operation experience of ureteroscopic holmium laser in treatment of ureteral calculi in primary hospital. Methods The clinical data of 428 cases of ureteral calculi were retrospective analyzed. All patients underwent holmium laser procedure of ureteral lithotripsy from Aug 2016 to Aug 2018 in a primary hospital. Results Lithotripsy was performed successfully in all patients. Of 428，395 underwent one?stage lithotripsy with a success rate of 92.29% ；the stones were moved up to the kidney（6.31%）in 27 cases，and then extracorporeal shock wave lithotripsy（ESWL）was performed the double J tube was placed；3（0.7%）were changed to open surgery. No complications such as major bleeding ，ureteral tears ，severe infections occurred in all patients during and after operation. Conclusion Ureteroscopic holmium laser treatment of ureteral calculi in the primary hospital can achieve the advantages of safe ，minimally invasive ，rapid recovery ，and effective curative effect，but the primary hospital should have the ability to deal with serious complications.

Key words: ureteral calculi, ureteroscope, Holmium laser

摘要： 目的 总结基层医院输尿管镜下钬激光治疗输尿管结石的临床经验和操作体会。方法 回顾性分析 428 例输尿管结石患者行输尿管钬激光碎石术的临床资料。结果 395 例一次性碎石成功，成功率（92.29%），27 例结石上移到肾脏（6.31%），留置双 J 管后行体外冲击波碎石治疗（ESWL），3 例改为开放手术（0.70%）。无大出血、输尿管撕裂、严重感染等并发症。结论 输尿管镜下钬激光治疗输尿管结石在基层医院能够做到该术式安全、微创、恢复快、疗效确切等优点，但基层医院应具有能够处理严重并发症的能力。

关键词: 钬激光, 输尿管镜, 输尿管结石