| 微创经皮肾镜钬激光碎石治疗肾结石150例报告 |
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| 引用本文： | 张贵福,杨金普,王跃强,黄曦,杨智明. 微创经皮肾镜钬激光碎石治疗肾结石150例报告[J]. 中国微创外科杂志, 2008, 8(4): 316-317 |
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| 作者姓名： | 张贵福 杨金普 王跃强 黄曦 杨智明 |
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| 作者单位： | 云南省红河州第一人民医院泌尿外科,蒙自,661100 |
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| 摘 要： | 目的探讨微创经皮肾镜钬激光碎石治疗肾结石的临床疗效。方法连续硬膜外麻醉,经皮肾穿刺,建立手术通道,插入肾镜(WolfF8.5/11.5),见结石后,用200μm钬激光传导光纤(设置功率0.6～1.2J/6～10Hz)将结石粉碎并取出碎石屑。术后保留肾造瘘管3～5d,尿管5～7d,双J管4～8周。结果130例一期手术取石,手术时间40～150min,平均60min,术后住院时间7～10d,平均8.5d;15例二期手术取石,术后住院时间12～16d,平均14d;5例三期手术取石,术后住院时间15～20d,平均17d。150例均为单通道取石,一次手术结石取净率86.0%(129/150),总结石取净率92.0%(138/150)。150例无严重并发症发生。结论微创经皮肾镜钬激光碎石治疗肾结石微创、安全、有效。
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| 关 键 词： | 肾结石 肾造口术 钬激光 碎石术 |
| 文章编号： | 1009-6604(2008)04-0316-02 |
| 修稿时间： | 2006-09-30 |
Percutaneous Nephrolithotomy for Renal Calculi by Using Holmium Laser: Report of 150 Cases |
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| Affiliation: | Zhang Guifu; Yang Jinpu; Wang Yueqiang; et al.Department of Urology; First People s Hospital of Honghe; Mengzi 661100; China; |
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| Abstract: | Objective To investigate the clinical efficacy of percutaneous nephrolithotomy with holmium laser(YAG laser lithotripsy)for the treatment of renal calculi.Methods Percutaneous puncture was performed under continuous epidural anesthesia,and then a pyeloscope(Wolf F8.5/11.5)was inserted and lithotripsy was carried out by using 200-μm holmium laser fiber(0.6-1.2 J/6-10 Hz).After the procedure,the pieces of the calculi were removed.After the operation,renal fistula was maintained for 3-5 d,urethral catheter was... |
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| Keywords: | Renal calculi Nephrostomy Holmium laser Lithotripsy |
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