输尿管肾镜下钬激光治疗肾结石  

Treatment of renal calculi with Ho:YAG laser lithotriptor through ureteroscope

作　　者：彭波[1] 施建昌[1] 郑金良[1] 余斌[1] 黄文强[1] 

机构地区：[1]武警上海总队医院泌尿外科,上海201103

出　　处：《中国内镜杂志》2004年第1期37-38,共2页China Journal of Endoscopy

摘　　要：目的　探讨输尿管镜下钬激光治疗肾结石的疗效及适应症。方法　采用输尿管肾盂镜下钬激光碎石治疗肾结石 5 0例。其中结石位上盏 9例 ,中盏 4例 ,肾盂结石 36例 ,铸形结石 7例 ,合并输尿管结石 5例。结果　一次性碎石率 78% (39/ 5 0 )。手术时间 2 4～ 95min ,平均为 5 1min ,术后住院 1～ 10d ,平均 3.2d ,并发脓肾 1例 ,水中毒 2例。结论　输尿管硬镜下钬激光治疗肾结石安全有效 ,并发症少。但须掌握其适应症 ,对复杂性肾结石宜采取分步骤、较为谨慎的方法。Objective:To discuss the clinical effect and indication of Ho:YAG laser through ureteroscope on the treatment of renal calculi.Method:Fifty cases of renal stone burdens were treated with versa pulse select Ho:YAG lithotriptor through ureterscope.Results:The successful rate of stone fragmentation after single session was 78%(39/50). Mean operative duration was 51 min(24～95 min.) Mean duration of post-operation in hospital was 3.2 days(1～10 days). Stone free time was 1～8 weeks. One case with pyonephrosis occurred. Two cases with water poison occurred. Conclusion: Being mastered its indication, Ho: YAG laser lithotripsy through ureteroscope is a safe, effective treatment for renal calculi.

关 键 词：肾结石 输尿管镜 钬激光 

分 类 号：R692.4[医药卫生—泌尿科学]