| 套石篮在输尿管镜钬激光碎石术治疗上段输尿管结石中的应用 |
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| 引用本文： | 刘忠国,温端改,严春寅,浦金贤,侯建全,平季根. 套石篮在输尿管镜钬激光碎石术治疗上段输尿管结石中的应用[J]. 山东医药, 2008, 48(39): 11-12 |
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| 作者姓名： | 刘忠国 温端改 严春寅 浦金贤 侯建全 平季根 |
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| 作者单位： | 青岛大学医学院第二附属医院,山东青岛,266042;苏州大学附属第一医院 |
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| 摘 要： | 目的探讨套石篮在输尿管镜钬激光碎石术治疗上段输尿管结石中的临床应用价值。方法55例应用上段输尿管结石患者,随机分为对照组（25例）和观察组（30例）,两组均采用硬性输尿管镜和钬激光碎石术：对照组术中不配合应用套石篮;观察组术中配合应用套石篮。结果总的单次碎石成功率为89.1%（49/55）。结石滑落回肾盂或肾盏内6例,其中对照组5例,观察组1例,术后仍需行ESWL治疗,两组比较P〈0.01。两组术中均无输尿管穿孔等并发症发生。结石排净率100%,无输尿管狭窄发生。结论在输尿管镜钬激光碎石术治疗上段输尿管结石中配合应用套石篮固定结石后再碎石的方法,可降低结石上推至肾盂内的推回率,从而提高上段输尿管结石的碎石成功率。
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| 关 键 词： | 套石篮 钬激光 激光碎石术 输尿管结石 |
A clinical study on basket manipulation combined with ureteroscopy and holmium: YAG laser lithotripsy for treatment of proximal ureteral calculi |
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| LIU Zhong-guo,WEN Duan-gai,YAN Chun-yin,PU Jin-xian,HOU Jian-quan,PING Ji-gen. A clinical study on basket manipulation combined with ureteroscopy and holmium: YAG laser lithotripsy for treatment of proximal ureteral calculi[J]. Shandong Medical Journal, 2008, 48(39): 11-12 |
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| Authors: | LIU Zhong-guo WEN Duan-gai YAN Chun-yin PU Jin-xian HOU Jian-quan PING Ji-gen |
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| Affiliation: | 1 The Second Affiliated Hospital;Qingdao University;Qingdao 266042;P.R.China |
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| Abstract: | Objective To evaluate the clinical efficacy of basket manipulation combined with ureteroscopy and holmium:YAG laser lithotripsy for treatment of proximal ureteral calculi.Methods 55 cases of proximal ureteral calculi who underwent ureteroscopic lithotripsy using holmium:YAG laser with a rigid ureteroscope.These cases were divided into two groups randomly:control group(25 cases) which didn't apply basket manipulation and observation group(30 cases) which applied basket manipulation.Results The successful rat... |
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| Keywords: | basket manipulation holmium laser laser lithotripsy ureteral calculi |
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