(四川省自贡市第一人民医院四川自贡643000)【摘要】目的 探讨输尿管镜下钬激光碎石术后并发症防治及处理。方法 对285例行微创输尿管镜下钬激光碎石术患者中出现28例并发症进行回顾性分析；总结发生并发症的原因及相应的防治措施。结果 28例并发症中输尿管穿孔9例，输尿管粘膜撕脱或断裂7例，结石上移5例，输尿管狭窄4例；术后高热3例。结论 选择合适的病例及提高碎石技术水平，是降低输尿管镜钬激光腔内碎石并发症的重要措施。【关键词】输尿管镜；钬激光碎石；并发症【中国分类号】R692【文献标识码】A【文章编号】1004-5511(2012)04-0010-02 【Abstract】0bjective To study complications associated with holmium laser ureterolithotripsy. Methods 285 cases with holmium laser ureterolithotripsy were retrospectively analyzed. Results of all the cases，ureteral perforation occurred in 9 cases，ureteral mucosa evulsio and abruptly in 7 case ，stone migration in 5 case，ureterostenosis in 4 case ......