皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2014年
6期
516-518,519
,共4页
输尿管硬镜%输尿管上段结石%钬激光
輸尿管硬鏡%輸尿管上段結石%鈥激光
수뇨관경경%수뇨관상단결석%화격광
ureteroscope%upper ureterolithiasis%holmium laser
目的：优化输尿管硬镜钬激光的治疗方法，探讨其对输尿管上段结石的疗效。方法：回顾性分析2006年2月～2014年4月540例输尿管硬镜钬激光碎石病例，选取2011年11月～2012年10月输尿管上段结石行输尿管硬镜钬激光碎石病例15份（普通组）与2012年11月～2014年4月输尿管上段结石行输尿管硬镜钬激光碎石病例26份（实验组）对比。结果：普通组一期手术成功率53.3％（8／15），实验组一期成功率92.3％（24／26）。结论：针对输尿管上段结石，通过筛选合适病例、采用全麻充分肌松、50 ml注射器手动低压灌注、手术时加用利尿剂、提高壁内段进镜手术技巧及改良碎石方法等优化方式能明显提高输尿管镜下钬激光碎石的成功率。
目的：優化輸尿管硬鏡鈥激光的治療方法，探討其對輸尿管上段結石的療效。方法：迴顧性分析2006年2月～2014年4月540例輸尿管硬鏡鈥激光碎石病例，選取2011年11月～2012年10月輸尿管上段結石行輸尿管硬鏡鈥激光碎石病例15份（普通組）與2012年11月～2014年4月輸尿管上段結石行輸尿管硬鏡鈥激光碎石病例26份（實驗組）對比。結果：普通組一期手術成功率53.3％（8／15），實驗組一期成功率92.3％（24／26）。結論：針對輸尿管上段結石，通過篩選閤適病例、採用全痳充分肌鬆、50 ml註射器手動低壓灌註、手術時加用利尿劑、提高壁內段進鏡手術技巧及改良碎石方法等優化方式能明顯提高輸尿管鏡下鈥激光碎石的成功率。
목적：우화수뇨관경경화격광적치료방법，탐토기대수뇨관상단결석적료효。방법：회고성분석2006년2월～2014년4월540례수뇨관경경화격광쇄석병례，선취2011년11월～2012년10월수뇨관상단결석행수뇨관경경화격광쇄석병례15빈（보통조）여2012년11월～2014년4월수뇨관상단결석행수뇨관경경화격광쇄석병례26빈（실험조）대비。결과：보통조일기수술성공솔53.3％（8／15），실험조일기성공솔92.3％（24／26）。결론：침대수뇨관상단결석，통과사선합괄병례、채용전마충분기송、50 ml주사기수동저압관주、수술시가용이뇨제、제고벽내단진경수술기교급개량쇄석방법등우화방식능명현제고수뇨관경하화격광쇄석적성공솔。
Objective:To optimize the technique and assess the efficacy using holmium laser lithotripsy under the ureteroscope for treatment of the upper ureterolithiasis.Methods:540 cases with ureterolithiasis undergone holmium laser lithotripsy were included between February 2006 and April 2014.Of the total cases,15 of upper ureterolithiasis received holmium laser lithotripsy under the ureteroscope between Novermber 2011 and October 2012 were allocated to the general group,and 26 between November 2012 and April 2014 to the experimental group.The two groups were compared regarding the efficacies. Results:The primary success rate was 53.3% (8/15) for the general group and 92.3%(24/26) for the experimental group.Conclusion:Holmium laser lithotripsy under the uretersocope may be effective for treatment of the upper ureterolithiasis ,provided that the surgical indications are appropriately evalua-ted in combination with muscle relaxation under the general anesthesia,low-pressure perfusion with syringe,administration with diuretics during surgery and skillful performance in operation .
