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输尿管镜下钬激光碎石术治疗输尿管结石241例临床观察
引用本文:裴军,蒋晓松,曾国锋.输尿管镜下钬激光碎石术治疗输尿管结石241例临床观察[J].海南医学,2011,22(16):14-16.
作者姓名:裴军  蒋晓松  曾国锋
作者单位:广东省中医院珠海医院外科,广东,珠海,519015
摘    要:目的观察输尿管镜下钬激光碎石术对于输尿管结石的疗效。方法采用输尿管镜下钬激光碎石术治疗我院2005年9月至2009年9月收治的241例输尿管结石患者,分析其手术时间、住院时间、一次性碎石成功率、并发症发生率及不同性质结石的碎石成功率,并与同期采取气压弹道碎石术治疗的233例患者的资料进行对比。结果钬激光组的手术时间(30.73±6.20)min及住院时间(6.31±1.70)d均小于气压弹道组,钬激光组的一次性碎石成功率(97.09%)高于气压弹道组,而并发症发生率(2.90%)均小于气压弹道组(P〈0.05)。而气压弹道组的胱氨酸结石成功率明显低于钬激光组。结论钬激光碎石术治疗输尿管结石尿疗效优于气压弹道碎石术,临床推荐应用钬激光碎石术来治疗输尿管结石。

关 键 词:输尿管镜  钬激光  输尿管结石  气压弹道碎石

Clinical observation of holmium laser lithotripsy under ureteroscope In the treatment of ureteral calculi
PEI Jun,JIANG Xiao-song,ZENG Guo-feng.Clinical observation of holmium laser lithotripsy under ureteroscope In the treatment of ureteral calculi[J].Hainan Medical Journal,2011,22(16):14-16.
Authors:PEI Jun  JIANG Xiao-song  ZENG Guo-feng
Affiliation:PEI Jun,JIANG Xiao-song,ZENG Guo-feng.Department of Surgery,Zhuhai Branch of Guangdong Provincial TCM Hospital,Zhuhai 519015,Guangdong,CHINA
Abstract:Objective To observe the clinical effect of holmium laser lithotripsy under ureteroscope in the treatment of ureteral calculi.Methods The clinical data of 241 patients with ureteral calculi treated by holmium laser lithotripsy under ureteroscope,admitted from Sep.2005 to Sep.2009,were analyzed and compared with that from 233 patients undergoing transurethral ureteroscope pneumatic lithotripsy(TUPL),including the operation time,length of hospital stay,one-time success rate,complication rate and success rate ...
Keywords:Ureteroscope  Holmium laser lithotripsy  Ureteral calculi  Pneumatic lithotripsy  
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