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新型组合式输尿管软镜联合钬激光治疗上尿路结石30例报告 被引量:9

Treatment of upper urinary calculi with holmium laser lithotripsy through modular flexible ureteroscope(report of 30 cases)
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摘要 目的探讨新型组合式输尿管软镜联合钬激光治疗上尿路结石的疗效。方法对30例上尿路结石患者采用新型组合式输尿管软镜联合钬激光治疗。结石长径0.8~1.8cm,平均(1.3±0.4)cm。结果 26例(26/30)病例成功碎石,单次碎石成功率86.6%。手术时间30~90min,平均(55±8)min;术后住院2~5d,平均(3.1±0.8)d。无脓肾、输尿管穿孔及严重出血等并发症。结论应用新型组合式输尿管软镜联合钬激光治疗上尿路结石,疗效确切,并发症少,可以克服一体式输尿管软镜易损坏。 Objective To evaluate the clinical efficacy of holmium laser with modular flexible ureteroscope in the treat- ment of upper urinary calculi. Methods 30 cases of upper urinary calculi were treated with holmium laser lithotripsy through modular flexible ureteroscope. The diameter of the calculi ranged 0. 8~1.8 cm, averaging (1.3 ± 0. 4)cm. Results Lithotripsy was performed successfully in 26 patients (26/30), with operation time of 30~90 (average 55± 8)min. Average post-operative hospital stay was (3.1±0. 8) days. No ureteral perforations or pyonephrosis occurred. Cooclusion Modular flexible ureteroscope is safe, convenient, and effective for lithotripsy of the upper urinary calculi.
出处 《现代泌尿外科杂志》 CAS 2013年第1期43-45,共3页 Journal of Modern Urology
关键词 组合式输尿管软镜 钬激光 上尿路结石 modular flexible ureteroscope holmium laser upper urinary calculi
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  • 1SETO C, ISHIURA Y, EGAWA M, et al. Durability of working channel in flexible ureteroscopes when inserting ureteroscopic de- vices[J]. J Endourol, 2006, 20(3):223-226.
  • 2BADER MJ,GRATZKE C,WAHHER S,et al. The PolyScope.. a modular design, semi-disposable flexible ureterorenoacopo system [J]. J Endourol,2010,24(7) :1061-1066.
  • 3GERARDO, CHRISTOPHER, KATJA, et al. Effectiveness of single flexible ureteroscopy for multiple renal calculi[J].J Endou- rol,2011,25(3) :431-435.
  • 4PERLMUTTER AE, TALUG C, TARRY WF, et al. Impact of stone location on success rates of endoscopic lithotripsy for neph- rolithiasis[J]. Urology,2008,71(2) :214-217.
  • 5孙颖浩,高旭,高小峰,许传亮,王林辉.输尿管软镜下钬激光碎石术治疗肾盏结石[J].临床泌尿外科杂志,2004,19(3):139-141. 被引量:114

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