论文部分内容阅读
目的对经皮肾镜钬激光碎石治疗上尿路结石的效果进行观察。方法 640例上尿路结石患者经皮肾镜钬激光碎石取石术对病情进行治疗,最后对患者的疗效进行观察和对比。结果 640例患者一期穿刺取石,一次碎石成功者达600例,结石清除率为93.8%;少量残石碎片者与再次手术取净结石者分别为8例和32例。患者手术时间1～4.5h,平均手术时间2.5h。其中4例患者由于肾通道出血对手术视野造成了影响而停止手术操作,后夹闭肾造瘘管后停止出血,再次手术治疗得以治愈。结论对于上尿路结石的治疗,对高效、安全、可靠的皮肾镜钬激光碎石取石术进行应用,其效果非常优越,值得推广及应用。
Objective To observe the effect of percutaneous nephroscope holmium laser lithotripsy on upper urinary calculi. Methods Sixty-four patients with upper urinary tract calculi were treated with percutaneous nephrolithotomy and holmium laser lithotripsy. The curative effect of the patients was observed and compared. Results One hundred and sixty-four patients underwent primary percutaneous puncturing. The success rate of one gravel was 600 and the rate of stone removal was 93.8%. There were 8 cases and 32 cases in which a small amount of residual debris was removed and the stones were re-operated. Patients surgery time 1 ~ 4.5h, the average operation time 2.5h. Among them, 4 patients stopped the operation due to the influence of renal channel hemorrhage on the operative field of view, and then stopped the bleeding after clamping the renal fistula, and the operation was cured again. Conclusion For the treatment of upper urinary tract calculi, the application of high efficiency, safe and reliable lithotripsy of holmium laser lithotripsy is superior and worthy of promotion and application.