摘要
目的：探讨钬激光碎石术治疗复杂性肾结石的有效性和安全性。方法：在2012年1月至2013年12月期间,我们应用德国多尼尔钬激光碎石系统治疗复杂性肾结石患者共21例，男14例，女7例。年龄24～55岁，平均38岁，复杂性结石中多发性结石14例，鹿角形结石3例，铸型结石4例，>2.5 cm结石7例，其中，最大肾结石直径约4.5cm.。结果：本组21例患者顺利进行碎石，平均手术时间为50 min(35～90 min)。术后复查KUB及B超检查，首次治疗净石率为47.6%(10/21)。术后随访，3月后总体净石率76.2%(16/21)。结论：输尿管镜钬激光碎石术治疗复杂性肾结石,碎石效率高、创伤小、并发症少、术后患者恢复快,是微创治疗的有效方法之一。
Objective To investigate the clinical effect of retrograde ureteroscopic intrarenal surgery ( RIRS) with holmium laser lithotripsy for renal calculi. Methods A retrospective analysis was made on the 21 cases of renal calcu-li treated with retrograde ureteroscopic holmium laser lithotripsy from January 2012 to December 2012. Results 21 cases were treated with lithotripsy. The initial curative rate was 47.6% ( 10/21),the overall curativee rate was76. 2%( 16/21). Conclusion Being safe,effective,less invasive in postoperative recovery,Retrograde Ureteroscopy In-trarenal Surgery with holmium laser lithotripsy is one of the effective methods in the treatment of renal calculi.
出处
《激光杂志》
CAS
CSCD
北大核心
2014年第8期97-98,共2页
Laser Journal
关键词
逆行输尿管镜手术
钬激光
肾结石
Ureteroscopy Intrarenal Surgery
Holmium laser
Renal calculi
