输尿管软镜下钬激光碎石术治疗肾结石(附51例报告)  

Treatment of renal calculi with Ho:YAG laser lithotriptor through flexible ureteroscope (report of 51 cases)

作　　者：孙颖浩[1] 戚晓升[1] 王林辉[1] 廖国强[1] 许传亮[1] 杨庆[1] 王芝芳[2] 万蓬[1] 来丽丽[1] 

机构地区：[1]第二军医大学附属长海医院泌尿外科,上海200433 [2]第二军医大学附属长海医院麻醉科手术室,上海200433

出　　处：《中华泌尿外科杂志》2002年第11期681-682,共2页Chinese Journal of Urology

摘　　要：目的　探讨输尿管软镜下钬激光碎石术治疗肾结石的疗效。　方法　采用输尿管软镜下钬激光碎石术治疗肾结石 5 1例。　结果　一次性碎石率 90 % (45 / 5 0 )。手术时间 30～ 78min ,平均 4 5min ;术后住院 1～ 6d ,平均 2 .4d ;结石排净时间 3～ 6周 ,平均 4周。无脓肾、输尿管穿孔等并发症。　结论　输尿管软镜下钬激光碎石术安全、有效 ,治疗肾结石疗效确切 ,并发症少。Objective To evaluate the clinical effect of Ho:YAG laser with flexible ureteroscope on the treatment of renal calculi. Methods Fifty one cases of renal stone burdens were treated with Versa Pulse Select Ho:YAG lithotriptor through flexible ureteroscope. Results The successful rate of stone fragmentation after single session was 90%(45/51).Mean operation duration was 45 min (30～78 min).Mean duration of post operation in hospital was 2.4 days (1～6 days).Stone free time was 3～6 weeks,with a mean of 4 weeks.No ureteral perforations or pyonephrosis occurred. Conclusions Ho:YAG laser lithotripsy through flexible ureteroscope is a safe, effective treatment for renal calculi.

关 键 词：输尿管软镜下 钬激光碎石 治疗 肾结石 病例报告 

分 类 号：R692.4[医药卫生—泌尿科学]