[1]贺飞,张晓忠,杨青山,等.输尿管软镜钬激光碎石术治疗经皮肾镜取石术术后的残留结石[J].中华腔镜泌尿外科杂志(电子版),2013,(03):49-51.
 HE Fei,ZHANG Xiao-zhong,YANG Qing-shan,et al.Clinical analysis of flexible ureteroscopic lithotripsy with holmium laser for residual stones after PCNL[J].,2013,(03):49-51.
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输尿管软镜钬激光碎石术治疗经皮肾镜取石术术后的残留结石()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2013年03期
页码:
49-51
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Clinical analysis of flexible ureteroscopic lithotripsy with holmium laser for residual stones after PCNL
作者:
贺飞张晓忠杨青山宋明哲陈海邬绍文
518045,深圳中山泌尿外科医院
Author(s):
HE FeiZHANG Xiao-zhongYANG Qing-shanSONG Ming-zheChen HaiWU Shao-wen
关键词:
输尿管软镜钬激光经皮肾镜取石术残留结石
摘要:
目的 探讨输尿管软镜钬激光碎石术治疗经皮肾镜取石术术后残留结石的安全性、有效性及应用价值.方法 回顾性分析2011年1月至2012年9月我院输尿管软镜钬激光碎石治疗22例PCNL术后残留结石患者的资料.PCNL术后残留结石发生于右肾10例,左肾12例,残留结石位于上盏5例、中盏3例、下盏14例,结石直径10.6~18.5 mm,平均(14.9±4.8) mm. 结果 本组21例均顺利置入输尿管软镜,1例因输尿管扩张鞘无法留置,给予留置双J管一周后,二期顺利置入输尿管软镜.22例均顺利寻及结石,19例(86.4%)一次性碎石成功.手术时间40~120 min,平均(70±21) min,术后住院3~7 d,平均(4±2.5)d.无大出血、输尿管黏膜撕脱、输尿管穿孔等手术并发症发生.拔除双J管后1个月复查KUB及超声,2例结石残留,直径分别是4,6 mm和5 mm,均位于肾下盏. 结论 输尿管软镜钬激光碎石治疗PCNL术后残留结石安全、有效.

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更新日期/Last Update: 1900-01-01