[1]蒋廷森*,吴锦昌,陈宗证,等.6/7.5F输尿管硬镜钬激光碎石治疗输尿管上段嵌顿性结石[J].中国微创外科杂志,2017,17(07):641-643.
　Jiang Tingsen,Wu Jinchang,Chen Zongzheng,et al.Use of 6/7.5F Ureteroscopic Holmium: YAG Laser Lithotripsy for Impacted Upper Ureteral Calculi[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):641-643.
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6/7.5F输尿管硬镜钬激光碎石治疗输尿管上段嵌顿性结石()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
641-643
栏目:
实验研究
出版日期:
2017-07-20

文章信息/Info

Title:
Use of 6/7.5F Ureteroscopic Holmium: YAG Laser Lithotripsy for Impacted Upper Ureteral Calculi
作者:
蒋廷森*; 吴锦昌; 陈宗证; 陈平川
广东省中山市港口医院泌尿外科，中山528447
Author(s):
Jiang Tingsen;  Wu Jinchang;  Chen Zongzheng;  et al.
Department of Urology, Gangkou Hospital of Zhongshan City, Zhongshan 528447, China
关键词:
输尿管硬镜; 钬激光; 输尿管上段; 嵌顿性结石
Keywords:
Ureteroscope; Holmium: YAG laser lithotripsy; Upper ureter; Impacted calculi
文献标志码:
A
摘要:
目的探讨6/7.5F输尿管硬镜钬激光碎石治疗输尿管上段嵌顿性结石的疗效。方法2013年4月~2016年10月，我院采用6/7.5F输尿管硬镜钬激光碎石术治疗输尿管上段嵌顿性结石265例，其中7例曾行ESWL治疗1~3次无效。结果进镜成功率99.6%（264/265），手术成功率97.7%（258/264），6例结石上移至肾盂。3例术后发热，余无并发症发生。结论6/7.5F输尿管硬镜钬激光碎石治疗输尿管上段嵌顿性结石安全可行。
Abstract:
ObjectiveTo evaluate the efficacy of 6/7.5F ureteroscopic holmium: YAG laser lithotripsy in the treatment of impacted upper ureteral calculi.Methods There were 265 cases of 6/7.5F ureteroscopic holmium laser lithotripsy for the treatment of incarcerated stones in our hospital from April 2013 to October 2016. Seven cases previously underwent ineffective ESWL for 1-3 times. Results The successful ureteral entrance rate was 99.6% (264/265). The success rate of operation was 97.7% (258/264). The stones moved to the pelvis in 6 cases. There were 3 cases of fever after operation. The other patients had no complications.ConclusionUse of 6/7.5F ureteroscopic holmium: YAG laser lithotripsy is safe and feasible in the treatment of impacted upper ureteral calculi.

参考文献/References:

[1]曹文锋，王亮，黄晓科，等.微创经皮肾镜联合输尿管软镜治疗嵌顿性输尿管上段结石.中国微创外科杂志，2012，12(10)：933-934,937．
[2]刘定益，俞家顺，王健，等.输尿管镜钬激光治疗输尿管结石1015例疗效分析.中国微创外科杂志，2015，15（8）：695-698.
[3]Lee YH,Tsai JY,Jiaan BP,et al.Prospective randomized trial comparing shock wave lithotripsy and ureteroscopic lithotripsy for management of large upper third ureteral stones.J Urol,2006,67(3):480-484.
[4]Mugiya S,Ozono S,Nagata M,et al.Retrograde endoscopic management of ureteral stones more than 2cm in size.J Urol,2006,67(6):1164-1168.
[5]杨念龙，叶玉萍，艾尼瓦尔·艾尔肯，等.逆行输尿管镜钬激光碎石术治疗嵌顿性输尿管结石的临床分析．中国综合临床，2014，30（12）：1236-1238.
[6]Taie K,Jasemi M,Khazaeli D,et al.Prevalence and management of complications of ureteroscopy:a seven-year experience with introduction of a new maneuver to prevent ureteral avulsion.Urol J,2012,9(1):356-360.
[7]朱强，姜博，张海峰．输尿管镜钬激光碎石术治疗输尿管结石的技巧探讨(附82例报告)．临床泌尿外科杂志，2011，26(3)：183-186.
[8]陈勇杰，张贤生.输尿管镜下钬激光碎石术与气压弹道碎石术治疗输尿管结石效果比较.山东医药，2016,56（37）：87-89.
[9]闫永吉，李炯明，刘建和，等.F6/7.5输尿管镜钬激光碎石治疗输尿管上段结石（附108例报告）.现代泌尿外科杂志,2011,16（6）：508-510.
[10]李文成,陈朝晖,汪良,等.输尿管镜手术中输尿管完全撕脱伤的处理.临床泌尿外科杂志，2017，32（1）:16-18,22.
[11]温海东,陈结能,廖昊,等.输尿管镜下钬激光治疗输尿管嵌顿性结石引起输尿管狭窄的相关因素分析.临床泌尿外科杂志,2016,31（2）：127-130.

备注/Memo

备注/Memo:
*通讯作者，E-mail:2576327302@qq.com
更新日期/Last Update: 2017-09-21