使用独特抽吸装置的钬激光经皮肾镜取石术
Holmium laser percutaneous nephrolithotomy using a unique suction device.
作者信息
Cuellar David C, Averch Timothy D
机构信息
Department of Urology, The University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
出版信息
J Endourol. 2004 Oct;18(8):780-2. doi: 10.1089/end.2004.18.780.
BACKGROUND AND PURPOSE
Most percutaneous nephrolithotomies are performed with electrohydraulic, ballistic, or ultrasonic lithotripsy, with holmium laser use reserved for ureteroscopy or ureterorenoscopy. We evaluated the feasibility of holmium laser use in percutaneous nephrolithotomy with the assistance of a unique suction device.
PATIENTS AND METHODS
The charts of 71 consecutive patients undergoing 90 percutaneous procedures were reviewed. A unique suction device and the holmium laser were used in nearly half the patients. The average stone burden was 3.25 cm. Use of holmium laser, energy settings, stone burden, operative time, complications, and stone-free rate were evaluated.
RESULTS
The average operative time was 167 minutes with a complication rate of 14%. A stone-free rate of 83% was achieved with the laser.
CONCLUSIONS
With the assistance of a unique suction device, the holmium laser can, in the appropriate situation, be an efficient and successful lithotrite with percutaneous nephrolithotomy.
背景与目的
大多数经皮肾镜取石术采用液电、弹道或超声碎石，钬激光仅用于输尿管镜检查或输尿管肾镜检查。我们评估了在一种独特的吸引装置辅助下，钬激光用于经皮肾镜取石术的可行性。
患者与方法
回顾了71例连续接受90次经皮手术患者的病历。近一半患者使用了独特的吸引装置和钬激光。平均结石负荷为3.25厘米。评估了钬激光的使用、能量设置、结石负荷、手术时间、并发症和结石清除率。
结果
平均手术时间为167分钟，并发症发生率为14%。使用激光的结石清除率达到83%。
结论
在一种独特的吸引装置辅助下，在适当情况下，钬激光可成为经皮肾镜取石术中一种有效且成功的碎石工具。
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