输尿管镜钬激光碎石术治疗输尿管结石  

Holmium laser used with ureterorenoscopy for ureteral calculus

作　　者：梁凯[1] 卢德祥[1] 楚宁[1] 张惠杰[1] 

机构地区：[1]黑龙江省医院南岗院区泌尿外科,黑龙江哈尔滨150001

出　　处：《中国校医》2012年第7期506-507,共2页Chinese Journal of School Doctor

摘　　要：目的探讨输尿管镜下钬激光治疗输尿管结石的疗效及安全性。方法应用输尿管镜钬激光碎石术治疗输尿管结石119例,观察碎石的成功率、手术时间、术后住院天数及术后并发症。结果 119例输尿管结石患者1次手术碎石成功率为93.3%（111例）,平均激光工作时间5.0（s=3.0）min,平均手术时间为21.5（s=12.5）min,术后平均住院3（2~5）d;无大出血、输尿管撕脱、脓肾等严重并发症。结论输尿管镜下钬激光碎石具有快速、安全、微创、碎石成功率高、病人恢复快等优点,是一种治疗输尿管结石的理想方法。Objective To evaluate the curative effect and security of Holmium laser in the treatment of ureteral calculus. Methods Totally 119 cases of ureteral calculus were treated via endoscope with holmium laser and the clinical data were summarized. Results The successful rate was 93.3 % （ 111/119） in the ureteral calcuti. The laser worked for 5.0 （s = 3.0） minutes in average. The surgery time was 21.5 （s = 12.5） minutes in average. Hospitalization, in average, was 3 days with a range of 2--5 days. No major complications such as hemorrhoea, high fever or pyonephrosis were observed. Conclusions The holmium laser used with ureterorenoscopy for ureteral calculus is an effective and harmless method with high success ratio, and after which patients recover quickly.

关 键 词：输尿管结石/外科手术 输尿管镜检查 钬 碎石术 激光/方法 

分 类 号：R693.4[医药卫生—泌尿科学]