| 微创经皮肾镜钬激光碎石术治疗上尿路结石疗效分析 |
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| 引用本文： | 赵海岩,杨光天,杨文发,方毅,温峰.微创经皮肾镜钬激光碎石术治疗上尿路结石疗效分析[J].齐齐哈尔医学院学报,2012,33(1):27-28. |
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| 作者姓名： | 赵海岩 杨光天 杨文发 方毅 温峰 |
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| 作者单位： | 赵海岩 (徐州医学院附属连云港医院泌尿外科,江苏,222000) ； 杨光天 (徐州医学院附属连云港医院泌尿外科,江苏,222000) ； 杨文发 (徐州医学院附属连云港医院泌尿外科,江苏,222000) ； 方毅 (徐州医学院附属连云港医院泌尿外科,江苏,222000) ； 温峰 (徐州医学院附属连云港医院泌尿外科,江苏,222000) ； |
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| 摘 要： | 目的探讨微创经皮肾镜钬激光碎石术治疗上尿路结石的疗效。方法总结利用微创经皮肾镜钬激光碎石术治疗35例上尿路结石患者的临床资料。结果结石清除率为91.42%(32/35)。手术时间85～235分钟,平均手术时间135分钟。5例术后残石患者行ESWL治疗。术后住院时间7～9天,平均8.2天。随访全部病例2～6个月,腰部疼痛、血尿等症状均消失,无结石复发。结论微创经皮肾镜钬激光碎石术是治疗上尿路结石安全有效的方法。
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| 关 键 词： | 经皮肾镜 钬激光 上尿路结石 |
Minimally invasive percutaneous nephrolithotomy with holmium laser for the treatment of upper urinary calculi |
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| Institution: | ZHAO Hai-yan,et al.(Department of Urology,Lianyungang Hospital Affiliated of Xuzhou Medical College,Lianyungang,Jiangsu 222000,the P.R.China.) |
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| Abstract: | Objective To discuss the efficiency of minimally invasive percutaneous nephrolithotomywith holmium laser for the treatment of upper urinary calculi. Methods Thirty-five cases of Upper Urinary calculi were treated by MPCN with holmium laser. Results The stone-free rate was 91.42%(32/35).The duration of operation was 85～235min(mean,135min).5 cases with residual stone underwent extracorporal shock wave lithotripsy after the operation.The length of postoperative hospital stay was 7～9 d(mean,8.2 d).Follow-up observations in the 35 cases for 2-6 months showed complete relief of symptoms and no recurrent stone. Conclusions MPCNL with holmium laser is safe and effective in the treatment of Upper Urinary calculi. |
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| Keywords: | Percutaneous nephrolithotomy Holmium laser Upper urinary calculi |
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