摘要
目的:探讨改良输尿管镜钬激光碎石术治疗输尿管结石的手术技巧及临床疗效。方法:回顾性分析我院于2011年9月～2012年10月行改良输尿管镜钬激光碎石术治疗输尿管结石的76例患者的临床资料,观察采用F3输尿管导管引导碎石并冲洗术野,术前配合速尿静推,运用结石封堵器等手术技巧的临床疗效。结果:本组76例患者一次性碎石成功率94.7%(72/76);上段结石碎石成功率91.3%(21/23),中下段结石碎石成功率95.6%(43/45),膀胱壁内段结石碎石成功率100%(8/8);手术时间21～83min,平均33min,术后住院时间2～9d,平均3.9d。结论:改良输尿管镜钬激光碎石术是治疗输尿管结石安全、有效的手术方法,熟练掌握进镜技巧并采用F3输尿管导管引导冲洗术区,术前速尿的使用以及结石封堵器等应用,可以有效的提高碎石成功率,缩短手术时间及术后住院时间,并减少术中术后并发症。
Objective：To discuss the technique oi modified ureteroscopic holmium laser hthotnpsy m the treat merit of ureteral calculi. Method： Retrospective analysis was adopted, 76 cases of ureteral caculi who underwent modified holmium laser lithotripsy with ureteroscopic from September 2011 to October 2012. Normal saline was injected slowly through Fa ureteral catheter during lithotripsy procedure. Lasix was intravenous injected preopera tively. Several cases were treated with intercept stone network. Clinical effects with such techniques of operation were observed. Result：The overall successful rate of fragmentation for all ureteral stones in a single procedure achieved 94.7%（72/76）. The successful rate of fragmentation for upper ureteral stones was 91.3%（21/23）. The successful rale of fragmentation for middle-lower ureteral stones was 95.6%% （43/45）. The successful rate of frag mentation for ureterovesical junction calculi was 100%/00（8/8）. Total operation time was 21-83 （mean 33） rain, and duration of hospitalization after operation was 2-9 d, with an average 3.9 d. Conclusion：The modified ureteroseopic holmium laser lithotripsy is an effective and safe therapy for patients with ureteral calculi. Correct and skillful ure teroscopic holmium laser management with F3 ureteral catheter guarding, the injecting of lasix and the using of intercept stone network can increase the the successful rate of fragmentation while decrease the operation time, post operative duration of hospitalization and the complication.
出处
《临床泌尿外科杂志》
2013年第7期533-536,共4页
Journal of Clinical Urology
关键词
输尿管镜
钬激光
输尿管结石
输尿管导管
ureteroscope
Holmium ： YAG laser
ureteral calculi
ureteral catheter
