输尿管结石的激光碎石术：250例患者的治疗结果
Laser lithotripsy for ureteric calculi: results in 250 patients.
作者信息
Kelly J D, Keane P F, Johnston S R, Kernohan R M
机构信息
Department of Urology, Belfast City Hospital.
出版信息
Ulster Med J. 1995 Oct;64(2):126-30.
Two hundred and fifty patients with 290 stones presenting to the Department of Urology were treated with the Candela MDL 2000 Laser Lithotripter. Overall stone clearance rate was 95%. The more proximal the calculus the lower the success rate. Ninety eight percent of stones in the lower ureter, 95% of mid ureteric and 91% of upper ureteric stones were cleared. The major complication was perforation which occurred in 6% of cases. This procedure is a safe and effective treatment for ureteric calculi and is associated with a low complication rate and a high clearance rate. Laser lithotripsy is the optimum ureteroscopic method of treating ureteric calculi and is complimentary to extra corporeal shock wave lithotripsy.
250例患有290颗结石的患者到泌尿外科就诊，接受了坎德拉MDL 2000型激光碎石机治疗。总体结石清除率为95%。结石位置越靠近近端，成功率越低。输尿管下段结石的清除率为98%，输尿管中段结石为95%，输尿管上段结石为91%。主要并发症是穿孔，发生率为6%。该手术是治疗输尿管结石的一种安全有效的方法，并发症发生率低，清除率高。激光碎石术是治疗输尿管结石的最佳输尿管镜方法，与体外冲击波碎石术相辅相成。
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