输尿管镜钬激光碎石术在输尿管下段结石治疗中的应用被引量：5

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摘要目的评价输尿管镜钬激光碎石术治疗输尿管下段结石的有效性和安全性。方法分析本院2016年1月至2018年12月采用输尿管镜钬激光碎石术治疗输尿管下段结石62例。结石特点:单侧41例,其中左侧21例,右侧20例;双侧21例;单发结石38例,多发结石24例;结石直径8~31mm,平均直径14.24±2.57mm,其中最大直径<10mm 15例,10mm≤最大直径≤20mm 23例,最大直径>20mm 24例。对手术时间、结石清除率、术后并发症发生情况进行分析。结果①相比10mm以上结石手术时间,结石直径<10mm的手术时间较短,提示手术时间与结石大小有关;②术后1天结石排净率为:结石最大直径<10mm 100%(15/15);10mm≤最大直径≤20mm 95.7%(22/23);最大直径>20mm 91.7%(22/24);术后1个月后结石排净率为96.77%(60/62),提示输尿管钬激光术具有较高的结石清除率,尤其是结石直径小于10mm;③手术并发症总体发生率为11.29%(7/62),均为轻微、可控。结论输尿管镜钬激光碎石术治疗输尿管下段结石排石安全有效。

作者王伟杨森

机构地区浙江省苍南县第三人民医院温州医科大学附属第二医院

出处《浙江创伤外科》 2019年第5期964-965,共2页 Zhejiang Journal of Traumatic Surgery

关键词输尿管结石输尿管镜钬激光碎石

分类号 R699.2 [医药卫生—泌尿科学]

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1龙清志,李翔,贺大林,陈兴发,王新阳,樊荣,张露,何辉.输尿管镜碎石术治疗肾和输尿管结石2150例的并发症分析[J].现代泌尿外科杂志,2016,21(8):606-609. 被引量：54
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