[1]温晓飞,陆佳荪,温机灵,等.微造瘘经皮肾镜大功率钬激光治疗肾结石128例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(02):145-150.
　WEN Xiao-fei,LU Jia-sun,WEN Ji-ling,et al.Mini-percutaneous nephrolithotomy with high-power holmium laser lithotripsy for the treatment of upper ureteral stones(report of 128 cases)[J].,2008,(02):145-150.
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微造瘘经皮肾镜大功率钬激光治疗肾结石128例报告()
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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:
2008年02期
页码:
145-150
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Mini-percutaneous nephrolithotomy with high-power holmium laser lithotripsy for the treatment of upper ureteral stones(report of 128 cases)
作者:
温晓飞; 陆佳荪; 温机灵; 仇广明; 张国强; 陈兴屹; 王学雷; 王跃闽
同济大学附属东方医院泌尿外科,上海,200120
Author(s):
WEN Xiao-fei; LU Jia-sun; WEN Ji-ling; QIU Guang-ming; ZHANG Guo-qiang; CHEN Xing-yi; WANG Xue-lei; WANG Yue-min
关键词:
肾结石; 经皮肾穿刺取石术; 钬激光
摘要:
目的 探讨微造瘘经皮肾镜下大功率钬激光在肾结石治疗中的应用.方法 采用8 F或9.8 F Storz输尿管硬镜,微造瘘经皮肾镜下使用科医人100 W钬激光机碎石,功率设置在40～60 W. 结果本组128例,均穿刺成功.一次性完成碎石取石105例,二次19例,三次4例.单通道取石121例,双通道取石7例.全部病例主要结石均被取出,单纯肾盂或肾盏结石取净率为94%,多发或铸型鹿角型结石取净率为78.8%.一期取石手术时间为(85±30)min,术后住院时间为(6±2)d.术中术后明显出血2例.无改开放手术或周围脏器损伤病例,无患肾切除或死亡病例. 结论微造瘘经皮肾镜取石安全有效,采用大功率钬激光可明显提高碎石效率、缩短手术时间,增加了一次手术结石取净率,而无增加肾脏的损伤.

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更新日期/Last Update: 1900-01-01