高功率钬激光联合经皮肾镜碎石术治疗肾结石
[High-power holmium laser with percutaneous nephrolithotripsy for kidney calculi].
作者信息
Sun Ying-hao, Gao Xiao-feng, Wang Lin-hui, Sheng Xia, Gao Xu, Wang Xi-zhi
机构信息
Department of Urology, Changhai Hospital, the Second Military Medical University, Shanghai 200433, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2005 Sep 15;43(18):1209-11.
OBJECTIVE
To assess the efficacy and safety of the high-power holmium laser with percutaneous nephrolithotripsy for kidney calculi.
METHODS
The high-power (60 W: 3.0 J x 20 Hz) holmium laser with percutaneous nephrolithotripsy was performed on 52 patients with single kidney pelvic or calyceal stones (average stone diameter 3.1 cm), 36 patients with multi-kidney pelvic and calyceal stones (average diameter 2.8 cm), 24 patients with staghorn stones (average diameter 6.8 cm). The duration of stone surgery, stone-free rate and complication were assessed.
RESULTS
The mean duration of stone surgery was 44 min, the stone-free rate was 66% (74/112) after the first session, 89% (100/112) at the end of session. 3 patients had high fever after percutaneous nephrolithotripsy, no other adverse events were noted.
CONCLUSIONS
The high-power holmium laser with percutaneous nephrolithotripsy can fragments calculi quickly and reduces the length of time of operation. It is an effective and safe technique for kidney calculi.
目的
评估高功率钬激光联合经皮肾镜碎石术治疗肾结石的疗效和安全性。
方法
对52例单发性肾盂或肾盏结石患者（平均结石直径3.1 cm）、36例多发性肾盂和肾盏结石患者（平均直径2.8 cm）、24例鹿角形结石患者（平均直径6.8 cm）实施高功率（60 W：3.0 J×20 Hz）钬激光联合经皮肾镜碎石术。评估结石手术时长、结石清除率及并发症情况。
结果
结石手术平均时长为44分钟，首次手术后结石清除率为66%（74/112），疗程结束时为89%（100/112）。3例患者经皮肾镜碎石术后出现高热，未观察到其他不良事件。
结论
高功率钬激光联合经皮肾镜碎石术可快速粉碎结石并缩短手术时间。它是一种治疗肾结石的有效且安全的技术。
Zotero 插件