[1]陈文忠,钟文,曾国华,等.输尿管软镜钬激光碎石术治疗输尿管上段结石[J].中华腔镜泌尿外科杂志(电子版),2012,(04):278-280.
 CHEN Wen-zhong,ZHONG Wen,ZENG Guo-hua,et al.Flexible ureteroscopic Ho:YAG laser lithotripsy in treating upper ureteral stones[J].,2012,(04):278-280.
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输尿管软镜钬激光碎石术治疗输尿管上段结石()
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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:
2012年04期
页码:
278-280
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Flexible ureteroscopic Ho:YAG laser lithotripsy in treating upper ureteral stones
作者:
陈文忠钟文曾国华陶学庭吴文起
广州医学院第一附属医院微创外科中心泌尿外科,广东省泌尿外科重点实验室,广州,510230
Author(s):
CHEN Wen-zhongZHONG WenZENG Guo-huaTAO XuetingWU Wen-qi
关键词:
输尿管结石输尿管软镜钬激光
摘要:
目的 总结输尿管软镜结合钬激光治疗输尿管上段结石的疗效及并发症,探讨手术技巧.方法 38 例输尿管上段结石患者接受输尿管软镜钬激光碎石治疗,先使用8/9.8 F 输尿管硬镜探查患侧输尿管,置入导丝后留置输尿管软镜鞘,引入输尿管软镜,钬激光碎石,并使用套石篮套取出较大的结石碎屑.结果 35 例患者一期顺利碎石,3 例因输尿管狭窄难以置入输尿管软镜鞘,留置输尿管内支架2 周后再次手术成功.手术时间31~56 min,平均42 min.术后7 例患者发热,无其他严重并发症.术后1 个月拔除内支架,2 周后复查KUB,结石清除率92.1%.结论 输尿管软镜结合钬激光是处理输尿管上段结石的有效手段,即便输尿管结石进入肾内,也可一期处理,避免了额外的体外碎石操作.

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更新日期/Last Update: 1900-01-01