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输尿管镜钬激光治疗输尿管结石伴息肉30例报告
引用本文:蒋志杰,杨林发,洪杰.输尿管镜钬激光治疗输尿管结石伴息肉30例报告[J].医疗装备,2011,24(2):41-42.
作者姓名:蒋志杰  杨林发  洪杰
作者单位:鄱阳县人民医院,江西鄱阳,333139
摘    要:目的总结输尿管镜钬激光治疗输尿管伴息肉的疗效和操作技巧。方法:回顾性分析采用钬激光经输尿管治疗30例输尿管结石伴息肉患者的临床资料。结果:30例患者一次性碎石成功率为93.3%(28/30),一次输尿管息肉切除成功率为100%。平均手术时间50min,术后平均住院时间4.5天,在碎石过程中,2例输尿管上段结石部分碎石冲入肾孟,予以留置双丁管,再次行ESWL,28例患者术后拔除双丁管后随访3~6个月,KUB示残余结石均已排净,B超检查示肾积水有不同程度缓解,其中26例患者肾积水消失,2例患者术后8个月息肉伴结石再次复收,由于拒绝开放手术,再次行输尿管镜钬激光治疗,目前仍在密切随访中。结论:对于输尿管结石伴息肉患者,采用输尿管镜下钬激光切除息肉和结石可以达到满意的治疗效果。

关 键 词:钬激光  输尿管结石  息肉

Ureteroscopic Holmium Laser lithotripsy for the Treat-ment of ureteral Cali-culi Complicated with polyps (Report of30Cases)
JIANG Zhi-jie,YANG Lin-fa,HONG Jie.Ureteroscopic Holmium Laser lithotripsy for the Treat-ment of ureteral Cali-culi Complicated with polyps (Report of30Cases)[J].Medical Equipment,2011,24(2):41-42.
Authors:JIANG Zhi-jie  YANG Lin-fa  HONG Jie
Institution:JIANG Zhi-jie,YANG Lin-fa,HONG Jie(People's Hospital of Poyang,Poyang 333139)
Abstract:objectiveTo evaluate the therapeutic effect and technical of holmium laser lithotripsy on the ureteroscopic treatment of ureteral calculi with polypus.Methods:Investigated the clinical material on ureterescopic hotmium laser lithotripsy treatmemt of 30 cases with ureteral calculi with polypus.Results:The successful rate of laser Lithotvipsy is 93.3%(28/30),and ureterd polyp resection is 100%(30/30).The mean operation time is 50min and the mean hospital stay is 4.5 days.Part of the calculi were flushed into ...
Keywords:holmium laser  ureteral calculi  polypus  
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