摘要
目的：探讨输尿管软镜钬激光碎石术治疗上尿路结石的疗效。方法：采用输尿管软镜钬激光碎石术治疗上尿路结石患者309例，其中肾结石228例，输尿管上段结石81例。结石长径0．8～3．0cm，平均1．6cm。结果：309例患者手术顺利，平均结石清除率为83．5％（258／309）。手术时间30～90min，平均50min。术后住院时间2～8d，平均5d。术后2周复查KUB平片，平均结石清除率达91．9％（284／309）。无脓肾、输尿管穿孑L等并发症发生。结论：输尿管软镜钬激光碎石术治疗上尿路结石安全有效，并发症少。
Objective：To evaluate the clinical effects of Ho：YAG laser lithotriptor with flexible ureteroscope in the treatment of upper urinary tract calculi. Method：Three hundred and nine cases of upper urinary tract calculi were treated with Ho ： YAG laser lithotriptor through flexible ureteroscope. Among them were 228 patients with renal calculi and 81 patients with upper ureteral calculi. Stone diameter was 0.8-3.0 cm, averaging 1.6 cm. Resuit：All the operative procedures were successful. The stone-free rate was 83.5 % （258/309）. Mean operation du- ration was 50 （range, 30-90） rains. Mean postoperative hospital stay was 5 （range, 2-8） days. The stone-free rate was 91.9% （284/309） two weeks later on KUB. No ureteral perforations or pyonephrosis occurred. Conclusion.. Ho： YAG laser lithotripsy through flexible ureteroscope is a safe, effective treatment for upper urinary tract calculi.
出处
《临床泌尿外科杂志》
2013年第12期889-890,共2页
Journal of Clinical Urology
关键词
肾结石
输尿管结石
输尿管软镜
钬激光
kidney calculi
ureteral calculi
flexible ureteroscope
holmium laser
