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钬激光治疗输尿管结石123例
引用本文:蒋建武.钬激光治疗输尿管结石123例[J].海南医学院学报,2007,13(3):281-282.
作者姓名:蒋建武
作者单位:广东省东莞市石排人民医院外科,广东,东莞,523330
摘    要:目的:探讨应用钬激光碎石术治疗输尿管结石的有效性及安全性.方法:总结输尿管镜下钬激光治疗123例输尿管结石患者的临床资料.结石直径0.5~2.0 cm,平均1.1 cm.结果:123例输尿管结石患者一次手术取尽率为86.2%(106例),有9例结石完整进入肾内,8例因结石之下输尿管严重扭曲改其他术式.平均手术时间和术后住院天数分别为55 min及4 d.结论:对于直径<2 cm、结石处炎症肉芽组织多、结石下段无明显梗阻的输尿管结石,输尿管镜下钬激光碎石治疗仍是最好的选择.

关 键 词:  激光  输尿管结石  输尿管镜
文章编号:1007-1237(2007)03-0281-02
修稿时间:2007-03-10

Holmium laser lithotrity therapeutic report in 123 cases with ureteral calculi
JIANG Jian-wu.Holmium laser lithotrity therapeutic report in 123 cases with ureteral calculi[J].Journal of Hainan Medical College,2007,13(3):281-282.
Authors:JIANG Jian-wu
Institution:Department of Surgery, Shipai Renmin Hospital of Dongguan, Guangdong Dongguan 523330, P. R. China
Abstract:Objective: To observe clinical effectivity and safety of holmium laser lithotrity on ureteral calculi.Methods: 123 patients with ureteral calculus were treated with Vensapulse Select holmium laser lithotrity through urethra under ureteroscopy.The diameter of calculus was 0.5~2.0 cm,average 1.1 cm.Results: The grinding rate of calculus after one lithotrity was 83.5%,of 9 cases calculus run in kidney,other 8 cases were subject to surgery due to renal duct severe twist under calculus.The average operating time was 55 minutes;postoperative hospital stay was 4 days.Conclusion: holmium laser lithotrity is an optimal way in patient with ureteral calculus that diameter in 2 cm,more inflammatory granulation tissue around calculus and no manifest obstruct under calculus.
Keywords:Titanium Laser  Ureteral calculus  Ureteroscopy
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