摘要
目的:探讨微创经皮肾镜钬激光碎石术治疗嵌顿性输尿管上段结石的疗效。方法:回顾性分析应用微创经皮肾镜碎石术治疗68例嵌顿性输尿管上段结石患者的临床资料。结果:68例患者均采用单通道碎石一期完成手术,结石清除率为94%,平均手术时间(65±15)min,术中平均失血量(85±30)ml,无大出血及其他严重并发症发生。结论:微创经皮肾镜钬激光碎石术治疗嵌顿性输尿管上段结石具有结石清除率高,并发症少,并可同时处理合并的肾结石等优点,值得临床推广应用。
Objective:To evaluate the efficacy of minimally invasive percutaneous nephrolithotlmy holmium laser in management of incarcerated upper ureteral calculi.Methods:The clinical data of 68 patients with incarcerated upper ureteral calculi,who were treated with minimally invasive percutaneous nephrolithotlmy holmium laser,were retrospectively analysed.Results:In 68 patients given single channel lithotripsy in one-stage operation,the stone-free rate was 94%,the average operative time was(65±15) min,the average blood loss was(85 ± 30) mL,and no bleeding and other serious complications occurred.Conclusions:Minimally invasive percutaneous nephrolithotlmy holmium laser in management of incarcerated upper ureteral calculi has advantage of high rate of stone clearance,and low incidence of complications,which can deal with the combined kidney stones,and is worthy of clinical application.
出处
《微创泌尿外科杂志》
2015年第5期286-288,共3页
Journal of Minimally Invasive Urology
关键词
经皮肾镜碎石术
输尿管上段嵌顿性结石
percutaneous nephrolithotomy
incarcerated upper ureteral calculi
