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输尿管镜下钬激光碎石术治疗双侧输尿管结石并急性肾功能衰竭(附17例报告) 被引量:3

Holmium: YAG Laser Lithotripsy for the Treatment of Acute Ureteric Calculous Obstruction with Acute Renal Failure Under Ureteroscope(Report of 17 Cases)
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摘要 目的:探讨输尿管镜下钬激光碎石术治疗输尿管结石梗阻并发急性肾功能衰竭的疗效。方法:硬性输尿管镜下钬激光碎石术治疗并发急性肾功能衰竭的双侧输尿管结石患者17例。结果:手术时间30~65 min,平均45 min。17例患者均1次治疗成功。术后4 d 17例患者肾功能全部恢复正常。结论:输尿管镜下钬激光碎石术是治疗并发急性肾功能衰竭的双侧输尿管结石有效的方法,具有创伤小,恢复快的优点,并有可能成为治疗并发急性肾功能衰竭的双侧输尿管结石的主要方法。 Objective:To investigate the clinical efficacy of holmium: YAG laser lithotripsy for the treatment of acute renal failure caused by ureteric calculous obstruction under ureteroscope.Methods:A total of 17 patients with acute renal failure caused by ureteric calculous obstruction were treated with holmium: YAG laser lithotripsy under ureterscopy.Result:Stones were successfully fragmented in all 17cases.The operation time varied from 30 to 65 minutes,and the average time was 45 minutes.The serum BUN and CR level of all patients were returned to normal level.Conclusions:The treatment of ureteral calculi by transureteroscopic holmium: YAG laser lithotripsy is an effective method for acute renal failure caused by ureteric calculous obstruction.This method have less trauma and quick recovery,and might become a main treatment of ureteral calculous obstruction associated with acute renal failure.
出处 《内蒙古医学杂志》 2011年第5期554-555,共2页 Inner Mongolia Medical Journal
关键词 急性肾功能衰竭 输尿管结石 输尿管镜 钬激光 Acute renal failure Ureteral calculi Ureteroscopy YAG laser
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