[1]孙成亮,胡成,司徒杰,等.输尿管镜联合钬激光治疗输尿管上段结石:附205例报告[J].中华腔镜泌尿外科杂志(电子版),2012,(03):217-220.
 SUN Cheng-liang,Hu Cheng,SITU Jie,et al.Treatment of proximal ureteral calculi with ureteroscopic holmium:YAG laser lithotripsy:Report of 205 cases[J].,2012,(03):217-220.
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输尿管镜联合钬激光治疗输尿管上段结石:附205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:
2012年03期
页码:
217-220
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Treatment of proximal ureteral calculi with ureteroscopic holmium:YAG laser lithotripsy:Report of 205 cases
作者:
孙成亮胡成司徒杰肖恒军张少峰
510630,广州,中山大学附属第三医院泌尿外科;442000,湖北石堰,湖北医药学院附属人民医院泌尿外科,中山大学附属第三医院泌尿外科,广州,510630
Author(s):
SUN Cheng-liangHu ChengSITU JieXIAO Heng-junZHANG Shao-feng
关键词:
输尿管结石钬激光激光碎石
摘要:
目的 探讨输尿管镜联合钬激光治疗输尿管上段结石的效果和安全性.方法 回顾性分析205例输尿管上段结石患者行输尿管硬镜钬激光碎石治疗的临床资料,其中男91例,女114例,结石位于单侧188例,双侧17例,炎性息肉引起输尿管腔明显狭窄者12例.结石长径0.8~1.4 cm.结果 192例一次性碎石成功,单次碎石成功率为93.7%(192/205).9例有较大结石碎片(4~6 mm)残留于肾或输尿管内,4例在碎石过程中结石冲入肾内,其中1例较大结石(1.4 cm)移位至肾盂后改行PCNL,其余3例留置双J管改行ESWL,均治愈.19例合并炎性息肉同期行激光烧灼.手术时间15~90min,平均30 min.住院时间2~9 d,平均3.5 d.198例患者在门诊获得随访,随访时间3~24个月,平均6个月,结石均排尽.结论 输尿管镜联合钬激光治疗输尿管上段结石的一种比较理想的腔内碎石技术,其碎石成功率高,并发症发生率低,创伤小,患者术后恢复快,而且可同期处理结石合并炎性息肉和狭窄.

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备注/Memo

备注/Memo:
国家自然科学基金(81050026)
更新日期/Last Update: 1900-01-01