[1]孙路,彭芳丽,陈厦辉,等.旁置输尿管导管持续顺行灌流输尿管镜钬激光碎石术——技术改良与临床观察[J].中华腔镜泌尿外科杂志(电子版),2009,(02):7-9.
　SUN Lu,PENG Fang-li,CHEN Xia-hui,et al.Paracalculous ureteral catheter continuous antegrade perfusion ureteroscopic lithotripsy: technological im improvement and clinical observation[J].,2009,(02):7-9.
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旁置输尿管导管持续顺行灌流输尿管镜钬激光碎石术——技术改良与临床观察()
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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:
2009年02期
页码:
7-9
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Paracalculous ureteral catheter continuous antegrade perfusion ureteroscopic lithotripsy: technological im improvement and clinical observation
作者:
孙路; 彭芳丽; 陈厦辉; 王德娟; 陈晓东; 邱剑光
江西省宜春市人民医院泌尿外科,336000，广州市天河区红会医院泌尿外科,510630，中山大学附属第三医院泌尿外科,广州,510630
Author(s):
SUN Lu; PENG Fang-li; CHEN Xia-hui; WANG De-juan; CHEN Xiao-dong; QIU Jian-guang
关键词:
钬激光; 结石; 输尿管导管; 输尿管镜
摘要:
目的 探讨利用改良的旁置输尿管导管持续顺行灌流技术行输尿管镜钬激光碎石治疗输尿管结石的临床效果. 方法 2008年 2月至 2009年 2月中山大学附属第三医院泌尿外科应用改良的旁置输尿管导管持续顺行灌流输尿管镜钬激光碎石技术治疗 30例输尿管结石.改良方法 为术中输尿管镜抵达结石下方后,先将一根5F输尿管导管越过结石向上插入10 cm,必要时可插入肾盂.保留导管退镜,再从管旁进镜抵达结石.助手经导管持续推注生理盐水,术者在输尿管内形成的向下水流冲刷所致的清晰视野下安全连续碎石.结果本组 30例输尿管结石患者单次手术结石粉碎率 100% (30/30) ,平均结石排净时间2 d,平均手术时间 32 min,平均术后住院时间 3 d.术中及术后无输尿管穿孔、高热、脓肾等并发症.结论 旁置输尿管导管持续顺行灌流输尿管镜钬激光碎石术可在清晰视野下连续碎石,结石不易上移.碎石易冲出,疗效确切,安全、并发症少.

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更新日期/Last Update: 1900-01-01