钬激光联合经尿道电切镜治疗膀胱结石  

Effect of transurethral holmium YAG laser in treatment of bladder calculi

作　　者：鲍国[1] 段宗好 张红双[1] 

机构地区：[1]淮南新华医院泌尿外科,安徽省淮南,232052

出　　处：《中国基层医药》2012年第5期687-688,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的总结钬激光联合电切镜治疗膀胱结石的经验。方法经尿道电切镜直视下进入膀胱后，用F5输尿管导管作鞘穿过钬激光光纤，然后将此光纤连同输尿管导管一起经电切镜的电极孔进入膀胱，调整钬激光功率碎除结石，Ellik吸出碎石，有前列腺切除手术指征者同期行前列腺电切术或前列腺汽化电切术。结果40例均一次手术成功，手术时间15～120min，术后无电切综合征，无膀胱穿孔及大出血，无结石残留。结论钬激光联合电切镜治疗膀胱结石，用F5输尿管导管作激光光纤外鞘可保持膀胱内灌注压力并能保护光纤，减少腔镜器械的使用，缩短手术时间，手术方法安全、有效。Objective To investigate the effect of transurethral holmium YAG laser in treatment of bltadder calculi. Methods F5 laser fiber in the holmium YAG laser was used to treat 40 patients with bladder calculi. Then the effect was observed. Results All 40 cases were successfully done by the operation time range from 15 to 120 minutes. There were no major complications, such as TRUS, bladder rupture or major bleeding. There was no residue stone. Conclusion F5 laser fiber in the holmium YAG laser treatment could be protected by the transurethral scope. It was safe, effective and has shorter operation time in treatment of bladder calculi.

关 键 词：膀胱结石 钬激光 经尿道电切镜 

分 类 号：R699[医药卫生—泌尿科学]