钬激光联合双频双脉冲激光碎石术治疗复杂膀胱结石(附37例报告)  

Treatment for Complicated Bladder Stones Using Holmiun and Frequency-doubled-double-pulse Laser Lithotripsy(Report of 37 cases)

作　　者：沙建军[1] 吕坚伟[1] 孙凯[1] 李东[1] 黄旭元[1] 

机构地区：[1]上海交通大学医学院附属仁济医院泌尿外科,上海200127

出　　处：《应用激光》2006年第4期281-282,280,共3页Applied Laser

摘　　要：目的：总结临床应用钬激光联合双频双脉冲激光治疗复杂膀胱结石的体会。方法：对37例复杂膀胱结石患者采用钬激光联合双频双脉冲激光碎石术进行治疗。结果：37例复杂膀胱结石患者的最大结石长径均〉35mm。其中31例为多发膀胱结石，6例为单发膀胱结石，均一次碎石成功，术中、术后无严重并发症。平均手术时间53min，平均激光工作时间45min。术后平均住院3．7d。37例术后随访2-24月，平均9．8月，B超未见结石复发，无排尿不畅等并发症。结论：钬激光联合双频双脉冲激光碎石术治疗复杂膀胱结石具有操作简单、安全、对软组织损伤小、碎石高效的优点。Objective： To study and evaluate holmium and frequency -doubled -double -pulse laser （FREDDY） lithotripsy of bladder stone. Methods： 37 cases with complicated bladder stones treated by the holmium and FREDDY laser lithotripsy from April in 2001 to March in 2006 were retrospectively analyzed. Results： The longest diameter of the biggest bladder stones in every case was longer than 35mm. In 37 cases, 31 cases were diagnosed as multiple bladder stones and 6 cases as single bladder stones. Bladder stones of all the cases were fragmented after a single session without severe complications. The average procedure time was 53 minutes ; the average laser working time was 45 minutes and the average hospitalization days after the operation were 3.7 days. Follow - up for 2 24 months （ mean,9.8 months） in the 37 cases showed no recurrence of stone under B - ultrasonography or symptoms of urethral stricture like dribble urination. Conclusion ： Treatment of complicated bladder stones using holmium combined with FREDDY laser is a kind of new method with the characteristics of simple opertion, safe,less invasion and high efficiency for the lithoripsy.

关 键 词：钬激光 双频双脉冲激光 碎石术 膀胱结石 

分 类 号：TN241[电子电信—物理电子学]