Gautier J R, Leandri P, Rossignol G, Caissel J, Quintens H
CETIL Clinique Saint-Jean, Toulouse, France.
Eur Urol. 1990;18(1):6-9. doi: 10.1159/000463857.
The pulsed dye laser (Candela) has been used from February 1988 to September 1989 in order to treat 325 stones in 278 patients. A total of 285 endoscopies has been performed. The pulsed laser has helped to achieve the fragmentation of 318 stones. Laser fragmentation has not induced any complication at all. The main failures can be attributed to the nature and shape of the stone. Thanks to the thin laser fiber, the use of small diameter ureteroscopes has increased the reliability of ureteroscopy. The use of this technique combined to extracorporeal shock wave lithotripsy (ESWL) has reduced the rate of open surgery for ureteral stones down to less than 1%.
1988年2月至1989年9月期间,使用脉冲染料激光(坎德拉)治疗了278例患者的325颗结石。共进行了285次内窥镜检查。脉冲激光有助于实现318颗结石的破碎。激光碎石术完全没有引发任何并发症。主要的失败原因可归因于结石的性质和形状。得益于纤细的激光光纤,小直径输尿管镜的使用提高了输尿管镜检查的可靠性。将该技术与体外冲击波碎石术(ESWL)相结合,已使输尿管结石的开放手术率降至1%以下。