钬激光碎石治疗复杂性上尿路结石效果分析  

The Effect Analysis of Holmium Laser Lithotripsy in the Treatment of Complex Upper Urinary Tract Calculi

作　　者：李顺来[1] 隋颖[1] 

机构地区：[1]济南市第五人民医院,山东济南250022

出　　处：《中外医学研究》2014年第32期12-13,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨经皮肾输尿管镜钬激光碎石治疗复杂性上尿路结石的临床疗效。方法:选取笔者所在医院2009年1月-2013年12月收治的201例219侧复杂性肾、输尿管上段结石患者,其中包括肾盂肾盏多发结石120侧,鹿角状结石63侧,输尿管上段大结石36例,以上患者均采用钬激光碎石术进行治疗,对患者的手术时间、结石排净率以及并发症情况进行观察分析。结果:本组201例219侧复杂性上尿路结石患者的平均手术时间为(69.1±12.7)min,一次性结石排净率为59.0%(129/219),总结石排净率为88.0%(192/219),术中出血量为(85.4±9.6)ml,术后9例患者出现一过性高热,无一例严重并发症出现。结论:采用经皮肾输尿管镜钬激光碎石治疗复杂性上尿路结石的疗效确切,手术时间短,出血量少,结石排净率高,值得在临床上推广应用。Objective：To investigate the clinical effect of percutaneous renal ureteroscope holmium laser lithotripsy in the treatment of complex upper urinary tract calculi.Method：201 patients （219 sides） with complex renal and ureteral stones admitted to our hospital from January 2009 to December 2013 were selected,including the pelvis and multiple renal calculi in 120 sides,63 sides were staghorn calculus,36 cases were upper ureteral stones,the patients were treated by holmium laser lithotripsy for treatment,the operation time,the lithagogue rate and complications of all patients were observed and analyzed.Result：In 201 patients（219 sides） with complex upper urinary stone,the average operation time was （69.1±12.7）min,the disposable lithagogue rate was 59.0%（129/219）, the total lithagogue rate was 88.0%（192/219）,the amount of bleeding was （85.4±9.6）ml,9 patients experienced high heat postoperative,with no serious complications.Conclusion：The curative effect of percutaneous renal ureteroscope holmium laser lithotripsy in treatment of complex upper urinary tract calculi is exact,shorter operation time,less bleeding,the lithagogue rate is high,is worthy of clinical popularization and application.

关 键 词：复杂性上尿路结石 钬激光碎石 输尿管镜 

分 类 号：R699[医药卫生—泌尿科学]