| 输尿管镜下钬激光治疗尿路结石230例 |
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| 引用本文： | 彭波,施建昌,郑金良,余斌,黄文强,郑军华.输尿管镜下钬激光治疗尿路结石230例[J].中国内镜杂志,2005,11(6):603-605. |
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| 作者姓名： | 彭波 施建昌 郑金良 余斌 黄文强 郑军华 |
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| 作者单位： | 1. 第二军医大学附属长征医院,泌尿外科,上海,200003
2. 武警上海总队医院,泌尿外科,上海,201103 |
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| 摘 要： | 目的 探讨钬激光治疗泌尿系结石的疗效。方法 采用输尿管镜钬激光碎石术治疗尿路结石230例。结果212例一次性碎石成功，一次性成功率达92．17％，碎石时间3～90min，一次性结石排净时间为1～8周，并发输尿管穿孔，改行开放手术2例，并发水中毒败血症2例，并患侧肾积脓2例，并发前列腺损伤出血1例，2次碎石成功10例，失败2例。结论 钬激光碎石术治疗输尿管结石安全，有效，确切，并发症少。
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| 关 键 词： | 尿路结石 钬激光 碎石术 |
| 文章编号： | 1007-1989(2005)06-0606-03 |
| 修稿时间： | 2005年1月8日 |
Treating urinary calculi with Ho: YAG laser lithotriptor (report of 230 cases) |
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| PENG Bo,SHI Jian-chang,ZHENG Jin-liang,YU Bin,HUANG Wen-qiang,ZHENG Jun-Hua.Treating urinary calculi with Ho: YAG laser lithotriptor (report of 230 cases)[J].China Journal of Endoscopy,2005,11(6):603-605. |
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| Authors: | PENG Bo SHI Jian-chang ZHENG Jin-liang YU Bin HUANG Wen-qiang ZHENG Jun-Hua |
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| Institution: | PENG Bo1,SHI Jian-chang2,ZHENG Jin-liang2,YU Bin2,HUANG Wen-qiang2,ZHENG Jun-hua1 |
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| Abstract: | Objective] To evaluate the clinical effect of Ho: YAG laser on the treatment of urinary calculi. Methods] 230 cases of urolithiosis were treated via ureteroscope or cystoscope with versapulse select Ho: YAG lithotriptor. Results] 212 cases of urolthiesis were fragmented after a single session. The overall successful tone fragmentation rate of urinary calculi was 92.17%. Mean operation time was 38 min (3~90 min). Stone free was 1~8 weeks. Mean duration of past-operation in hospital was 1~7 days. There are 2 cases of ureteral pereforation and 2 case of psonephrosis and 2 cases of water intoxication occurred. Conclusion] Ho: YAG laser lithotripsy through ureteroscope is a safe, effective treatment of urinary calculi. |
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| Keywords: | urinary calculi holmium laser lithotripsy |
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