CAJ | 학술논문

目的：探讨组合式输尿管软镜钬激光碎石术治疗上尿路结石的疗效和安全性.方法：回顾性分析2013年1月~2013年10月诊治的45例采用组合式输尿管软镜钬激光碎石术治疗上尿路结石患者的临床资料,对其手术并发症和结石取净率等资料进行分析.结果：45例患者均顺利完成手术.手术时间35~130 mi n ,平均52 mi n .无大出血、输尿管撕脱、输尿管穿孔等并发症发生,术后3例出现发热.Ⅰ期结石取净率为88.9％(40/45),5例残石患者中,1例残石位于肾中盏、4例残石位于肾下盏,残石大小0.6~0.8 c m.结论：组合式输尿管软镜钬激光碎石术治疗上尿路结石具有接近“无创”、安全、有效、可重复治疗等优点,值得临床推广应用.
목적：탐토조합식수뇨관연경화격광쇄석술치료상뇨로결석적료효화안전성.방법：회고성분석2013년1월~2013년10월진치적45례채용조합식수뇨관연경화격광쇄석술치료상뇨로결석환자적림상자료,대기수술병발증화결석취정솔등자료진행분석.결과：45례환자균순리완성수술.수술시간35~130 mi n ,평균52 mi n .무대출혈、수뇨관시탈、수뇨관천공등병발증발생,술후3례출현발열.Ⅰ기결석취정솔위88.9％(40/45),5례잔석환자중,1례잔석위우신중잔、4례잔석위우신하잔,잔석대소0.6~0.8 c m.결론：조합식수뇨관연경화격광쇄석술치료상뇨로결석구유접근“무창”、안전、유효、가중복치료등우점,치득림상추엄응용.
To investi gate the efficacy and safety of modular flexi ble ureteroscopy co mbined with hol m-i un laser lithotri psy for the treat ment of upper urinary calculi .Methods :Fro m January 201 3 to October 201 3 ,clinical data of 45 patients with upper urinary calculi in our hospital undergoing modular flexi ble ureteroscopy co mbined with hol mi un laser lithotri psy were retrospecti vely anal yzed .These data incl uded complicati ons and calculi-free rate .Re-sults :All operati ons were successfully completed .The average operati ve ti me was 52 min (35-1 30 min ).No seri ous complicati ons such as he morrhage ,ureter perforati on and avulsi on occurred durating the operati on .Three patients suffered from fever postoperati vely .The calculi-free rate in the first stage was 88.9 % (40/45 ).In the 5 patients with resi dual calculi ,1 l ocated in the middle cal yces ,and 4 l ocated in the lower cal yces .The dia meters of resi dual calculi were 0.6-0.8 cm.Conclusions :The method of modular flexi ble ureteroscopy co mbined with hol mi un laser lith-otri psy for upper urinary calculi has the advantages of being close to noninvasi on ,safety ,effecti veness and reproduc-i bility .