| 双频双脉冲激光治疗输尿管中下段结石 |
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| 引用本文： | 李强,王晔龙,曹利杰,卞崔冬.双频双脉冲激光治疗输尿管中下段结石[J].临床医学,2012,32(4):14-15. |
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| 作者姓名： | 李强 王晔龙 曹利杰 卞崔冬 |
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| 作者单位： | 1. 上海市嘉定区南翔医院泌尿外科,上海,201802
2. 同济大学附属同济医院泌尿外科 |
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| 摘 要： | 目的观察输尿管镜下双频双脉冲激光治疗输尿管中下段结石的疗效。方法应用输尿管镜及双频双脉冲激光对80例输尿管中下段结石进行碎石治疗。结果 80例中一次性碎石成功率为92.5%(74/80),其中输尿管中段结石一次碎石成功率为86.2%(25/29),输尿管下段结石一次碎石成功率为96.1%(49/51);碎石失败6例,其中1例输尿管穿孔改开放手术。激光碎石成功患者术后除出现血尿外,未发生其他严重并发症。结论输尿管镜下双频双脉冲激光碎石术具有快速、安全、微创、碎石成功率高、操作简单和患者康复快等优点,是目前治疗输尿管中下段结石的理想方法。
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| 关 键 词： | 输尿管结石 双频双脉冲激光 输尿管镜 碎石术 |
Efficiency of the frequency-doubled doubled-pulse laser on middle and distal ureteral calculi |
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| LI Qiang
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WANG Ye-long
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CAO Li-jie
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BIAN Cui-dong.Efficiency of the frequency-doubled doubled-pulse laser on middle and distal ureteral calculi[J].Clinical Medicine,2012,32(4):14-15. |
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| Authors: | LI Qiang WANG Ye-long CAO Li-jie BIAN Cui-dong |
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| Institution: | 1)Department of Urology,Nanxiang Hospital of Jiading District,Shanghai 201802,China;2)Department of Urology,Tongji Hospital Affiliated to Tongji University |
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| Abstract: | Objective To observe the efficiency of frequency-doubled doubled-pulse laser on lithotripsy of middle and distal ureteral calculi.Methods Eighty cases of ureteral calculi were treated with transureteroscopic frequency-doubled doubled-pulse laser.Results The successful rate was 86.2%（25/29） in the middle ureteral calculi,96.1%（49/51） in the distal ureteral calculi and 92.5%（74/80） in all.Among the 6 patients still suffered,1 case had operation for ureter perforation.Except different degrees of hematuria were seen in successful cases,no serious complications were observed.Conclusion The frequency-doubled doubled-pulse laser used for endoscopic lithotripsy is a single,safe,effective and harmless method with high success rate and quickly recovery.It is an ideal therapeutic method for ureteral middle and distal calculi. |
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| Keywords: | Ureteral calculi Frequency-doubled doubled-pulse laser Ureteroscope Lithotripsy |
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