中国激光医学杂志
中國激光醫學雜誌
중국격광의학잡지
980235.htm
2009年
5期
290-293
,共4页
周逢海%王养民%迟强%孙全武%乔够梅
週逢海%王養民%遲彊%孫全武%喬夠梅
주봉해%왕양민%지강%손전무%교구매
激光%腔内泌尿外科%治疗
激光%腔內泌尿外科%治療
격광%강내비뇨외과%치료
Laser%Endourology%Treatment
目的 探讨钬激光在泌尿系疾病治疗中的价值.方法 回顾性分析2007年1月至2009年4月钬激光结合膀胱镜、输尿管镜经尿道或经皮肾穿刺通道治疗226例患者的临床资料.结果 18例膀胱结石,2例尿道结石,7例回肠代膀胱结石均一次性碎石成功.124例输尿管结石单次手术结石粉碎率为92.5%(115/124).39例肾结石采用微刨经皮肾穿刺钬激光碎石成功率为92.3%(36/39).输尿管狭窄、息肉2例,尿道狭窄、息肉2例,浅表性膀胱肿瘤18例,前列腺增生14例均治愈.发生并发症12例,占5.3%(12/226).所有结石患者术后随访1～2个月,结石排净率为97.9%(186/190).结论 钬激光在碎石、切割组织、凝固止血等方面具有非常明显的优势,结合各种泌尿内腔镜治疗泌尿系疾病具有安全、有效、出血少、恢复快,应用范围广等优点.
目的 探討鈥激光在泌尿繫疾病治療中的價值.方法 迴顧性分析2007年1月至2009年4月鈥激光結閤膀胱鏡、輸尿管鏡經尿道或經皮腎穿刺通道治療226例患者的臨床資料.結果 18例膀胱結石,2例尿道結石,7例迴腸代膀胱結石均一次性碎石成功.124例輸尿管結石單次手術結石粉碎率為92.5%(115/124).39例腎結石採用微鑤經皮腎穿刺鈥激光碎石成功率為92.3%(36/39).輸尿管狹窄、息肉2例,尿道狹窄、息肉2例,淺錶性膀胱腫瘤18例,前列腺增生14例均治愈.髮生併髮癥12例,佔5.3%(12/226).所有結石患者術後隨訪1～2箇月,結石排淨率為97.9%(186/190).結論 鈥激光在碎石、切割組織、凝固止血等方麵具有非常明顯的優勢,結閤各種泌尿內腔鏡治療泌尿繫疾病具有安全、有效、齣血少、恢複快,應用範圍廣等優點.
목적 탐토화격광재비뇨계질병치료중적개치.방법 회고성분석2007년1월지2009년4월화격광결합방광경、수뇨관경경뇨도혹경피신천자통도치료226례환자적림상자료.결과 18례방광결석,2례뇨도결석,7례회장대방광결석균일차성쇄석성공.124례수뇨관결석단차수술결석분쇄솔위92.5%(115/124).39례신결석채용미포경피신천자화격광쇄석성공솔위92.3%(36/39).수뇨관협착、식육2례,뇨도협착、식육2례,천표성방광종류18례,전렬선증생14례균치유.발생병발증12례,점5.3%(12/226).소유결석환자술후수방1～2개월,결석배정솔위97.9%(186/190).결론 화격광재쇄석、절할조직、응고지혈등방면구유비상명현적우세,결합각충비뇨내강경치료비뇨계질병구유안전、유효、출혈소、회복쾌,응용범위엄등우점.
Objective To evaluate the value of holmium laser in the treatment of urological diseases.Methods A retrospective analysis was made on clinical data of 226 cases with urological diseases treated through ureteroscope or cys-toscope with holmium laser by urethra or minimally invasively from Jan 2007 to Apr 2009 in our hospital.Results Eighteen cases with bladder calculi, 2 cases with urethral calculi and 7 cases with calculi in the ileal conduit urinary diversion were successfully fragmented after one treatment session. The overall fragment rate of ureteral calculi was 92. 5% (115/124) in one treatment session. The overall fragment rate of renal calculi was 92. 3% (36/39) in one treatment session by minimally invasive percutaneous nephrolithotrypsy. Two cases with ureteral polyps and stricture, 2 cases with urethral polyps and stricture, 14 cases with benign postatic hyperplasia and 18 cases with superficial bladder tumors were all cured. The superficial bladder tumors were without recurrence with recently follow-up. The postoperative follow-up from 1 month to 2 months reveraled that stone-free rate was up to 97. 9% (186/190) among the all patients with calculi. The overall complication rate was 5. 30% (12/226).Conclusions Holmium laser with endoscopy is safe and effective in the treatment of urinary diseases and has such advantages as minimal trauma, less blood loss, fewer complications and easier recovery.
