中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
4期
42-44
,共3页
杨发武%吕更生%王二庆%周鲁财%徐钦华%汪磊%张海洋%赵熊
楊髮武%呂更生%王二慶%週魯財%徐欽華%汪磊%張海洋%趙熊
양발무%려경생%왕이경%주로재%서흠화%왕뢰%장해양%조웅
钬激光%碎石术%输尿管镜%输尿管结石
鈥激光%碎石術%輸尿管鏡%輸尿管結石
화격광%쇄석술%수뇨관경%수뇨관결석
Holmium laser%Lithotripsy%Ureteroscopy%Ureteral stone
目的 探讨输尿管镜下钬激光碎石术治疗输尿管结石的有效性和安全性.方法 回顾性分析32例应用经输尿管镜钬激光碎石术治疗的输尿管结石患者的临床资料.其中男15例,女17例;年龄24 ~ 67岁,平均48岁.上段结石10例,中下段22例;结石直径0.6~1.9 cm,平均1.0 cm.应用不同的进镜方法和冲水方法,注意进镜技巧和碎石技巧.结果 32例中30例手术顺利完成,2例改开放手术.进镜成功率为100% (32/32),碎石成功率为100% (30/30).平均手术时间50 min,术后平均住院4d.术后随访1个月~1年.单纯钬激光碎石结石排净率93.3% (28/30).2例因肾脏结石残留行体外冲击波碎石治疗,2周后结石清除.结论 输尿管镜钬激光碎石术治疗输尿管结石高效、安全,可作为输尿管全程结石首选的治疗方法.
目的 探討輸尿管鏡下鈥激光碎石術治療輸尿管結石的有效性和安全性.方法 迴顧性分析32例應用經輸尿管鏡鈥激光碎石術治療的輸尿管結石患者的臨床資料.其中男15例,女17例;年齡24 ~ 67歲,平均48歲.上段結石10例,中下段22例;結石直徑0.6~1.9 cm,平均1.0 cm.應用不同的進鏡方法和遲水方法,註意進鏡技巧和碎石技巧.結果 32例中30例手術順利完成,2例改開放手術.進鏡成功率為100% (32/32),碎石成功率為100% (30/30).平均手術時間50 min,術後平均住院4d.術後隨訪1箇月~1年.單純鈥激光碎石結石排淨率93.3% (28/30).2例因腎髒結石殘留行體外遲擊波碎石治療,2週後結石清除.結論 輸尿管鏡鈥激光碎石術治療輸尿管結石高效、安全,可作為輸尿管全程結石首選的治療方法.
목적 탐토수뇨관경하화격광쇄석술치료수뇨관결석적유효성화안전성.방법 회고성분석32례응용경수뇨관경화격광쇄석술치료적수뇨관결석환자적림상자료.기중남15례,녀17례;년령24 ~ 67세,평균48세.상단결석10례,중하단22례;결석직경0.6~1.9 cm,평균1.0 cm.응용불동적진경방법화충수방법,주의진경기교화쇄석기교.결과 32례중30례수술순리완성,2례개개방수술.진경성공솔위100% (32/32),쇄석성공솔위100% (30/30).평균수술시간50 min,술후평균주원4d.술후수방1개월~1년.단순화격광쇄석결석배정솔93.3% (28/30).2례인신장결석잔류행체외충격파쇄석치료,2주후결석청제.결론 수뇨관경화격광쇄석술치료수뇨관결석고효、안전,가작위수뇨관전정결석수선적치료방법.
Objective To investigate the effectiveness and security of holmium laser lithotripsy for ureteric stone.Methods A retrospective analysis of 32 patients with uretecic stones and treated by holmium laser lithotripsy was done.Fifteen males and 17 females were included,24 to 67 years old,an average of 48 years old.The number of upper segments stones was 10 cases,middle-lower segments was 22 cases.The stone diameter was 0.6 to 1.9 cm,an average of 1.0 cm.Different methods of entring ureteroscope and flush were applied.Attention of kills about entring ureteroscope and lithotripsy were paid.Results Thirty cases operated successfully,2 cases converted to open surgery in 32 cases.The entry rate of ureteroscope was 100% (32/32),the rate of breaking stone was 100% (30/30).The mean operative time was 50 min,mean day in hospital in postoperation was 4 days.One month to 1 year was followed-up.Complete lithagogue rate of using holmium laser lithotripsy was 93.3 % (28/30).Two cases dued to the residually renal stones were treated with ESWL,stones were discharged 2 weeks later.Conclusions The holmium laser lithotripsy for ureteral stones is efficient and safe,can be used as the preferred method of treating full ureter stones.