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120例输尿管结石的激光碎石术:经验教训

Lasertripsy for ureteric stones in 120 cases: lessons learned.

作者信息

Coptcoat M J, Ison K T, Watson G, Wickham J E

机构信息

Institute of Urology, London.

出版信息

Br J Urol. 1988 Jun;61(6):487-9. doi: 10.1111/j.1464-410x.1988.tb05085.x.

DOI:10.1111/j.1464-410x.1988.tb05085.x
PMID:2900041
Abstract

The pulsed dye laser has proved to be an effective and safe method of treating ureteric stones; 120 patients have been treated. Ureteroscopic lasertripsy (107 cases) had an overall success rate of 84%. The failures were due to mobile stones inadvertently flushed back into the kidney (14%) and 2% of patients required open ureterolithotomy after failure of two ureteroscopic procedures. "Blind" lasertripsy (13 cases) was safe but not as efficient, the success rate being only 23%.

摘要

脉冲染料激光已被证明是治疗输尿管结石的一种有效且安全的方法;已治疗120例患者。输尿管镜激光碎石术(107例)的总体成功率为84%。失败原因是活动结石意外冲回肾脏(14%),2%的患者在两次输尿管镜手术失败后需要进行开放性输尿管取石术。“盲目”激光碎石术(13例)是安全的,但效率不高,成功率仅为23%。

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