输尿管软镜钬激光碎石术治疗孤立肾肾结石(附15例报告)

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摘要 目的:探讨输尿管软镜钬激光碎石术治疗孤立肾肾结石的安全性和有效性。方法:回顾性分析2010年6月～2013年6月利用输尿管软镜钬激光碎石术治疗孤立肾肾结石15例患者的临床资料。结果:输尿管软镜一次进镜成功率86.7%(13/15),余2例二次手术成功进镜,总的进镜成功率100%(15/15),钬激光碎石成功率93.3%(14/15),3个月后结石清除率86.7%(13/15),平均手术时间65 min(45～90 min),无严重并发症。结论:输尿管软镜钬激光碎石术治疗孤立肾肾结石安全、有效,具有手术创伤小、术后恢复快等优点。

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	杨琦
	王养民
	周逢海
	常德辉
	蒋桂芳

关键词 ：输尿管软镜, 钬激光, 孤立肾, 结石

Abstract：Objective: To evaluate the safety and therapeutic effect of flexible ureteroscopy with Holmium laser lithotripsy for solitary kidney calculi. Methods: 15 cases of solitary kidney calculi after using flexible ureteroscopy with Holmium laser lithotripsy from June 2010 to June 2013 were reviewed. Results: The insertion of flexible ureteroscopy was successful in 86.7%(13/15), and in 13.3%(2/15) cases in the second time 2 weeks later, the total success rate was 100%(15/15), and laser lithotripsy succeeded in 14 cases. Thirteen cases out of 15(86.7%) had stone clearance at 3 months post primary operation. The average operation time was 65 min (45-90 min). No serious complication occurred. Conclusions: Flexible ureteroscopy combined Holmium laser lithotripsy is safe and effective for solitary kidney calculi, and may offer advantages with respect to less invasion, rapid recovery and short hospitalization stay.

Key words： flexible ureteroscopy holmium laser solitary kidney calculi

收稿日期: 2014-07-25

ZTFLH:

R692.4

基金资助:全军医药卫生科研项目(CLZ12J004)

通讯作者: 王养民,13919931420@163.com

引用本文:

杨琦,王养民,周逢海,常德辉,蒋桂芳. 输尿管软镜钬激光碎石术治疗孤立肾肾结石(附15例报告)[J]. 微创泌尿外科杂志, 2014, 3(5): 299-301.
Yang Qi,Wang Yangmin,Zhou Fenghai,Chang Dehui,Jiang Guifang. Flexible ureteroscopy combined with Holmium laser lithotripsy for solitary kidney calculi:Report of 15 cases. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2014, 3(5): 299-301.

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