Ruiz Marcellán F J, Ibarz Servio L, Ramón Dalmau M
Centro Sanitario de Litiasis Renal, Instituto Dexeus, Barcelona, España.
Arch Esp Urol. 1991 Jun;44(5):557-61.
A review of the history of lasertripsy from continuous to intermittent Nd:YAG, Alexandrite, or liquid-dye laser is undertaken. Certain calculi require intraureteral fragmentation owing to stone hardness or location. Within a period spanning 20 months, we have treated 350 patients (199 males, 151 females) utilizing dye laser through a very fine caliber 7.5 F ureteroscope. Twenty-six had bilateral calculi. The calculi were located in the upper third in 10% (37), middle third in 25% (93), and lower third in 65% (241). Complete fragmentation was achieved in 341 (93%), push up + ESWL was performed in 24 (6.4%), and two calculi (0.6%) required ultrasonic fragmentation. No patient required surgery and there were no severe complications.
本文回顾了激光碎石术从连续波到脉冲式钕钇铝石榴石激光、翠绿宝石激光或液体染料激光的发展历程。某些结石由于硬度或位置原因需要进行输尿管内碎石。在20个月的时间里，我们使用染料激光通过非常细的7.5F输尿管镜治疗了350例患者（男性199例，女性151例）。26例为双侧结石。结石位于上三分之一段的占10%（37例），中段的占25%（93例），下段的占65%（241例）。341例（93%）实现了完全碎石，24例（6.4%）进行了推石+体外冲击波碎石术，2例（0.6%）结石需要超声碎石。无一例患者需要手术，也没有严重并发症。
