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输尿管镜下U100激光碎石治疗输尿管结石541例报告
引用本文:史子敏,吴勇,朱安义,邹高德,黄红卫,刘芳明,熊建华,习小庆,胡映波,鲁雄兵,项明锋,潘正跃. 输尿管镜下U100激光碎石治疗输尿管结石541例报告[J]. 江西医学院学报, 2008, 48(3): 52-55
作者姓名:史子敏  吴勇  朱安义  邹高德  黄红卫  刘芳明  熊建华  习小庆  胡映波  鲁雄兵  项明锋  潘正跃
作者单位:南昌大学第二附属医院泌尿外科,南昌330006
摘    要:目的探讨输尿管镜下U100激光治疗输尿管结石的疗效、失败原因及并发症。方法回顾性分析2003年2月至2006年10月输尿管镜下用U100激光碎石技术治疗541例输尿管结石患者的临床资料。结果1次碎石成功率达91.3%(494/541),其中输尿管上段结石177例1次成功,成功率为85.1%(177/208);中下段317例1次成功,成功率为95.2%(317/333),上段与中下段成功率差异有显著性(P〈0.005)。术后1周结石总排净率为86.0%(425/494),其中上段为78.0%(138/177),中下段为90.5%(287/317),术后1周上段与中下段结石排净率差异有显著性(P〈0.005)。术中输尿管穿孔3例,无输尿管断裂、内膜撕脱,术后无输尿管狭窄。结论输尿管镜下U100激光碎石效率高、对组织损伤小、并发症少、结石排净率高、患者住院时间短、恢复快,是一种高效、安全的腔内碎石方法。

关 键 词:输尿管镜  U100激光碎石  输尿管结石

Ureteroscope U100 Laser Lithotripsy of Ureteral Calculi (Report of 541 Cases)
SHI Zi-ming,WU Yong,ZHU An-yi,ZOU Gao-de,HUANG Hong-wei,LIU Fang-ming,XIONG Jian-hua,XI Xiao-qing,HU Ying-bo,LU Xiong-bing,XIANG Ming-feng,PAN Zheng-yue. Ureteroscope U100 Laser Lithotripsy of Ureteral Calculi (Report of 541 Cases)[J]. Acta Academiae Medicinae Jiangxi, 2008, 48(3): 52-55
Authors:SHI Zi-ming  WU Yong  ZHU An-yi  ZOU Gao-de  HUANG Hong-wei  LIU Fang-ming  XIONG Jian-hua  XI Xiao-qing  HU Ying-bo  LU Xiong-bing  XIANG Ming-feng  PAN Zheng-yue
Affiliation:Department of Urological Surgery;the Second AffiliatedHospital of Nanchang University;Nanchang 330006;China
Abstract:Objective To report the efficacy of lithotripsy with laser U100 on treatment of ureteric calculi,and discuss the failure reasons and complications.Methods To summarize and analyze 541 cases in the urological department of the second affiliated hospital of Nanchang University between February 2003 and October 2006.Results The success rate of U100 laserlithotripsy on treatment of ureteric calculi was 91.3%(494/541),and the success rates of upper and mid-lower ureter were 85.1%(177/208)and 95.2%(317/333)respec...
Keywords:ureteroscopy  U100 laser lithotripsy  ureteral calculi  
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