经输尿管镜钬激光碎石术的临床研究.pdfVIP

DOC格式论文，方便您的复制修改删 经输尿管镜钬激光碎石术的临床研究 （作者:___________单位: ___________邮编: ___________） 作者：黄世明，李顺，赵庆利，李博，魏学斌，李青 【摘要】目的探讨经输尿管镜钬激光碎石术治疗输尿管结石的疗 效、安全性和影响因素。方法 240 例输尿管结石患者，经输尿管镜 找到结石后，引导钬激光进行碎石治疗。结果 手术成功215例，一 次性碎石成功率 89.58% ；碎石成功组结石直径大小平均 (1.1± 0.32)cm ，手术时间平均（63.6±20.3 ）min ，住院时间平均（2.6±1.4） 天，结石排净时间平均(19.7±11.3)天。手术失败25例，失败组结石 直径平均(1.53±0.61)cm ，其中结石体积较大导致碎石不理想5例， 输尿管狭窄或者扭曲造成置镜失败或者碎石不理想11例，结石移位 被冲入肾盂9例。输尿管口或壁段损伤15例，术后肉眼血尿64例， 术后腰痛21例，输尿管穿孔或假道5例，肾周积液并肾周感染1例， 输尿管完全撕脱 1例。结论 经输尿管镜钬激光碎石术治疗输尿管结 石存在一定的并发症，但仍然是一种高效、安全的治疗手段；结石大 小、输尿管狭窄或扭曲、结石移位是影响手术结果的主要因素。 【关键词】输尿管结石；碎石术；钬激光；并发症 DOC格式论文，方便您的复制修改删减 Clinical study on holmium laser ureterolithotripsy 【Abstract 】 Objective To evaluate the therapeutic e ect o holmium laser ureterolithotripsy ，and its applications and influential factors.Methods 240 patients with ureteralcalculi were treated by holmium laser ureterolithotripsy.Results 215 cases were successful,the overall stone fragmentation rate was 89.58% with a single procedure ，in the successful operation group ，the mean stone size was (1.1 ±0.32)cm ，the mean operation time was(63.6 ± 20.3)min ，the postoperative hospital stay was(2.6±1.4)days ，the stone free time was (19.7 ±11.3)days.25 cases were failure ，in the failure operation group ，the mean stone size was (1.1±0.32)cm ，5 cases of them had a bad stone fragmentation due to oppotive large stone size ，also 11 cases for the concomitant ureteral structure ， stone shift to renal pelvis in operation occurred in 9 cases.15 cases were noted having ureterostoma injury ，after operation 64 cases had hematuria ，21 cases had lumb ago ，5 cases had ureteral perforation ，1 case had perirenal hematoma ，1 case occurred complete ureteral laceration.Conclusion Holmium laser ureterolithotripsy is e ective and safe