钬激光碎石术治疗输尿管上段结石110例  

Holmium laser lithotrity to remove upper ureteral caculi (a report of 110 cases)

作　　者：游建平 聂兴华 李海军 刘道亮 许建宁[2] 

机构地区：[1]江西省上饶市江西凤凰医院泌尿外科,江西上饶334000 [2]广东省人民医院泌尿外科,广东广州510080

出　　处：《现代泌尿外科杂志》2005年第6期339-340,共2页Journal of Modern Urology

摘　　要：目的观察经尿道钬激光碎石术治疗输尿管上段结石的临床疗效及安全性。方法利用VersapulseSelect钬激光机经输尿管肾镜治疗110例输尿管上段结石病人,并以130例接受气压弹道碎石术的病人作为对照。结果110例输尿管结石患者一次手术结石粉碎率为96.4%(106例),平均结石排净时间2.5周;平均手术时间和术后住院天数分别为22min及2d。术中无输尿管穿孔、撕裂等并发症。而气压弹道碎石组中上述各项指标分别为86.9%3.1周、4.5min和5d,均与钬激光组有明显差异。结论钬激光碎石是治疗泌尿系结石一种安全、有效的腔道泌尿外科碎石方法。Objective To observe clinical effect and safety of holmium laser lithotrity to remove upper ureteral caculi. Methods 110 patients with upper ureteral caculus were treated with Vensapulse Select holmium laser lithotrity through urethra, and the data were compared with the controls of 130 patients treated with air-pressure trajectory lithotrity. Results The grinding rate of caculus after one lithotrity was 96.4%, and the average time for caculus to discharge from body was 2.5 weeks; the average operating time was 22 minutes; the hospitatization was 2 days. But in the control group, the caculus grinding rate, the avenage time of caculus discharging from the body, the average time of operating and the hospitatization were 89.6%, 3.1 weeks, 4.5 minutes and 5 days respectively. There was significant difference between the experimental and the control group. Conclusion It is safe and effective to remove upper ureteral caculi with holmium laser lithotrity.

关 键 词：钬激光碎石 输尿管结石 弹道碎石 输尿管镜 

分 类 号：R693.4[医药卫生—泌尿科学]