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输尿管结石体外震波碎石术失败后钬激光碎石术(附31例报告)
Transureteroscope Holmium Laser Lithotripsy for Ureteral Calculi after Failed ESWL(a Report of 31 Cases)
【摘要】 目的:评价输尿管结石体外震波碎石术(ESWL)失败后输尿管镜钬激光碎石术的疗效和安全性。方法:回顾分析2005年5月-2008年10月输尿管结石ESWL失败后行输尿管镜钬激光碎石术31例的临床资料。结果:输尿管镜钬激光一次碎石成功28例,成功率90.3%(28/31);3例失败,其中2例为结石移位,1例为置镜失败。结论:尿管镜钬激光碎石术创伤小,并发症少,是治疗输尿管结石ESWL失败后的首选方法。
【Abstract】 Obective:To evalute the clinical efficacy and safety of transureteorscope holmium laser lithotripsy for ureteral calculi after failed extracorporeal shock-wave lithotripsy (ESWL). Methods:Clinical data of 31 cases with ureteroscopic holmium laser lithotripsy for ureteral calculi after failed (ESWL) were analyzed from May 2005 to Oct.2008.Results:Ureteroscopic holmium laser lithotripsy success rate was 90.3%(28/31),with 2 cases of calculi translocation and 1 case of failed ureteroscopy placement. Conclusion:Ureteroscopic holmium laser lithotripsy is the first choice of ureteral calculus after failed ESWL with little trauma and few complications.
【Key words】 Extracorporeal shock-wave lithotripsy; Ureteroscope; Holmium laser;
- 【文献出处】 中国临床医学 ,Chinese Journal of Clinical Medicine , 编辑部邮箱 ,2009年04期
- 【分类号】R693.4
- 【下载频次】15