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输尿管镜检查联合钬激光治疗漏斗部狭窄的应用

Use of ureteroscopy and holmium:yttrium-aluminum-garnet laser in the treatment of an infundibular stenosis.

作者信息

Kim H L, Gerber G S

机构信息

Department of Surgery, Pritzker School of Medicine, University of Chicago, Illinois 60637, USA.

出版信息

Urology. 2000 Jan;55(1):129-31. doi: 10.1016/s0090-4295(99)00385-4.

DOI:10.1016/s0090-4295(99)00385-4
PMID:10654909
Abstract

An infundibular stenosis is defined by a dilated calyx draining through a narrowed infundibulum into a nondistended renal pelvis. We describe the use of ureteroscopy and the holmium:yttrium-aluminum-garnet (YAG) laser to successfully treat an infundibular stenosis in a 27-year-old woman who presented with left flank pain. The holmium:YAG laser is well suited for this application. It can be applied with precise control of the direction and depth of the cut. The retrograde approach avoids the morbidity of a percutaneous nephrostomy and is well suited for treating an anterior infundibular stenosis.

摘要

肾盂漏斗部狭窄的定义为,扩张的肾盏通过狭窄的漏斗部引流至未扩张的肾盂。我们描述了一名27岁左侧腰痛女性患者,使用输尿管镜及钬:钇铝石榴石(YAG)激光成功治疗肾盂漏斗部狭窄的病例。钬:YAG激光非常适合该应用。它可以在精确控制切割方向和深度的情况下使用。逆行入路避免了经皮肾造瘘术的并发症,非常适合治疗前侧肾盂漏斗部狭窄。

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