组合式输尿管软镜钬激光碎石术治疗上尿路结石初步体会（附25例报告）.docVIP

精品论文 参考文献 组合式输尿管软镜钬激光碎石术治疗上尿路结石初步体会（附25例报告） （淮安市淮阴医院泌尿外科 江苏 淮安 223300） 【摘要】 目的:探讨组合式输尿管软镜联合钬激光碎石治疗上尿路结石的临床疗效。方法:2014年11月至2015年5月应用组合式输尿管软镜联合钬激光碎石治疗上尿路结石25例。肾上、中盏结石6例，肾下盏结石2例，肾盂结石14例，输尿管上段结石3例。单发结石21例，多发结石4例。其中2例为孤立肾肾结石。结石长径平均1.4plusmn;0.4cm。结果:20例成功碎石，碎石成功率为80.0％（20／25），手术时间50～120min，平均85plusmn;11min；术后住院2～4ｄ，平均3.0plusmn;0.8ｄ。无感染性休克、输尿管损伤及严重出血等并发症。 结论:应用组合式输尿管软镜钬激光碎石术治疗上尿路结石，疗效确切。 【关键词】 上尿路结石；组合式输尿管软镜；钬激光碎石 【中图分类号】R691.4 【文献标识码】A 【文章编号】2095-1752（2015）36-0191-02 Modular flexible ureteroscope combined with holmium laser lithotripsy for treatment of upper urinary calculi (report of 25 cases) XIAO Xu,WANG Qiangdong,DONG Zhenjia,YUAN Qinbo,YAN Yao,XIE Yongfeng,XIE Jie (Department of Urology,Huaian Huaiyin Hospital,Jiangsu Huaian 223300,China) 【Abstract】Objective To evaluate the clinical efficiency of modular flexible ureteroscope combined with Holmium laser lithotripsy for treatment of upper urinary calculi. Methods A total of 25 patients with upper urinary calculi were treated with holmium laser combined with modular flexible ureteroscope in our hospital from November 2014 to May 2015. There were 6 cases in middle and upper calyx,2 cases in lower calyx,14 cases in renal pelvic,3 cases in ureteral. Among them 2 case of solitary kidney calculi. Single calculi in 21 cases, 4 cases were multiple calculi. The calculi diameter average in 1.4plusmn;0.4 cm. Results Lithotripsy was perfromed successfully in 20 patients(20/25) ,with operation time of 50~120 min,(average 85plusmn;11)min; Average postoperative hospital stay was (3.0 plusmn;0.8)days. Without septic shock, ureteral injuries and complications such as severe bleeding. Conclusion Modular flexible ureteroscope combined with Holmium laser lithotripsy is effective and safe for treatment of upper urinary calculi. 【Key words】Upper urinary calculi;Modular flexible ureteroscope; Holmium laser lithotripsy 输尿管软镜头部可弯曲可以抵达肾盂、肾盏，联合钬激光能够粉碎上尿路结石。2014年11月至2015年5月我院应用德国铂立（Polydiagnostc