输尿管软镜钬激光碎石术在＞2 cm肾结石治疗中的应用体会

黄建生; 房杰群; 余舟; 袁谦; 肖克峰

doi:10.13201/j.issn.1001-1420.2019.04.004

输尿管软镜钬激光碎石术在＞2 cm肾结石治疗中的应用体会

- 深圳市人民医院(暨南大学第二临床医学院南方科技大学第一附属医院)泌尿外科(广东深圳, 518020)

详细信息

通讯作者: 肖克峰,E-mail:kevin5510315@yahoo.com

中图分类号: R693

收稿日期: 2019-02-11

Application of flexible ureteroscopic holmium laser lithotripsy on the treatment of renal stones larger than 2 cm

- Department of Urology, Shenzhen People's Hospital, Second Clinical Medical College of Jinan University, First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, 518020, China

More Information

Corresponding author: XIAO Kefeng, E-mail: kevin5510315@yahoo.com

Received Date: 11 February 2019

摘要

摘要: 目的:评估输尿管软镜钬激光碎石术治疗＞2 cm肾结石的有效性及安全性。方法:回顾性分析我院2015年1月~2018年10月176例行输尿管软镜钬激光碎石术治疗的＞2 cm肾结石患者的临床资料。结果:176例患者共进行219次输尿管软镜钬激光碎石术,其中139例(78.98%)进行了1次手术,31例(17.61%)进行了2次手术,6例(3.41%)进行了3次手术,平均每例患者进行1.24次手术。手术时间40~185 min,平均97.34 min。一期手术结石清除率为69.89%,二期手术结石清除率为86.36%,三期手术结石清除率为89.20%。除9例次(4.11%)出现术后发热(T＞38℃)外,无其他术中或术后并发症发生。结论:输尿管软镜钬激光碎石术治疗＞2 cm肾结石安全、有效,但需要2次或以上手术方可取得较为满意的结石清除率。
- 输尿管镜 /
- 钬激光碎石术 /
- 肾结石
Abstract: Objective: To evaluate the safety and efficacy of flexible ureteroscopic holmium laser lithotripsy for the treatment of renal stones larger than 2 cm. Method: Clinical data of 176 patients with renal stones larger than 2 cm treated with flexible ureteroscopic holmium laser lithotripsy in our hospital from January 2015 to October 2018 were retrospectively collected and analyzed. Result: Totally 219 procedures of flexible ureteroscopic holmium laser lithotripsy were done for these 176 patients with renal stones larger than 2 cm. Only one procedure was carried out in 139 patients of them(78.98%), two procedures in 31 patients of them(17.61%), and three procedures in 6 patients of them(3.41%). In average 1.24 procedures were carried out per patient. Operation time ranged from 40-185 minutes with the average of 97.34 minutes. Stone-free rate after 1-stage of operation was 69.89%, after 2-stage of operation was 86.36%, and after 3-stage of operation was 89.20%. No other intraoperative or postoperative complications occurred except postoperative fever(T＞38℃).Conclusion: Flexible ureteroscopic holmium laser lithotripsy for the treatment of renal stones larger than 2 cm is safe and effective, but two or more procedures of operations are required in order to get satisfying stone-free rate.
- ureteroscopy /
- holmium laser lithotripsy /
- renal calculi

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