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目的探讨钬激光联合组合式输尿管软镜在治疗肾结石中的临床疗效。方法肾结石患者40例,男性28例,女性12例;平均年龄(40.2±10)岁。应用双脉冲钬激光联合组合式输尿管软镜治疗,能量0.8~1.5 J,频率20~30 Hz。术后随访3个月。结果 40例肾结石患者,30例经一次输尿管软镜碎石成功,成功率75.0%(30/40),其余10例中9例患者经两次输尿管软镜碎石,1例改行经皮肾镜碎石取石。术后3例患者发生尿源性的脓毒血症,3例患者因出院后发热,提早拔除双J管。3个月复查,除4例鹿角样结石患者外均未见残余结石。结论双脉冲钬激光联合组合式输尿管软镜治疗肾结石安全、高效、微创,值得临床推广。
Objective To investigate the clinical efficacy of holmium laser combined with ureteroscopy in the treatment of renal calculus. Methods 40 cases of kidney stones, 28 males and 12 females; mean age (40.2 ± 10) years. Application of double-pulse holmium laser combined with combined ureteroscope treatment, energy 0.8 ~ 1.5 J, frequency 20 ~ 30 Hz. Follow-up 3 months after operation. Results 40 cases of renal stones, 30 cases of a ureteroscopic success of the gravel, the success rate of 75.0% (30/40), the remaining 10 cases in 9 patients with ureteroscopic twice, one case of transcutaneous renal Stone rubble stone. Three patients developed urinary sepsis postoperatively, and 3 patients were extubated with double J tube due to fever after discharge. 3 months review, except for 4 cases of antler-like stone patients have no residual stones. Conclusion Double-pulse holmium laser combined with combined ureteroscope treatment of renal stones safe, efficient and minimally invasive, it is worth clinical promotion.