摘要
目的：探讨输尿管软镜下钬激光碎石术治疗肾结石的疗效。方法：采用输尿管软镜下钬激光碎石术治疗肾结石56例，结石大小0．8～1.6cm，平均1．2cm。经输尿管硬镜扩张后留置输尿管扩张鞘，寻及结石以200／zm光纤、0．8～1．2J／5～10Hz功率钬激光碎石。结果：56例共有结石62枚，结石寻及率96．8％，单次碎石成功率92％（57／62）。手术时间30～60min，平均45min，术后住院1～4天，平均3天，无脓肾、输尿管穿孔等并发症。结论：输尿管软镜下钬激光碎石术治疗肾结石安全、有效，尤其适用于结石体积较小、肾盏无明显积水，以及因解剖特点预期ESWL效果不佳的患者，治疗肾结石疗效确切，并发症少。
Objective：To evaluate the clinical effect of Holmium laser with flexible ureteroscope on the treatment of renal calculi. Methods.Fifty six cases of renal stone burdens were treated with Versa Pulse Select Ho YAG lithotripter through flexible ureteroscope. Results：The successful rate of stone search was 96.8%. The successful rate of stone fragmentation after single session was 92 % （57/62）. Mean operation time was 45rain（30-60 min）. Mean time of post-operative stay in hospital was 3 days（1-4 days）. No ureteral perforations or pyonephrosis occurred. Conclusions： Ho：YAG laser lithotripsy through flexible ureteroscope is a safe, effective treatment modality for calyceal calculi ,especially for those with unfavorable anatomic factors related to ESWL and those with minor diameter and without significant hydronephrosis.
出处
《临床泌尿外科杂志》
2007年第11期831-832,共2页
Journal of Clinical Urology
关键词
肾结石
输尿管软镜
钬激光
Kidney calculi Flexible ureteroscope Holmium laser
