Beaghler M, Poon M, Ruckle H, Stewart S, Weil D
Division of Urology, Loma Linda University School of Medicine, California 92354, USA.
J Endourol. 1998 Dec;12(6):533-5. doi: 10.1089/end.1998.12.533.
We report the operative and early postoperative complications and limitations in 133 patients treated with the holmium laser. Complications included urinary tract infection (N = 3), postoperative bradycardia (1), inverted T-waves (1), intractable flank pain (1), urinary retention (1), inability to access a lower-pole calix with a 365-microm fiber (9), stone migration (5), and termination of procedure because of poor visibility (2). No ureteral perforations or strictures occurred, and no complications were directly attributable to the laser. The holmium laser was capable of fragmenting all urinary calculi in this study. In our initial experience, the holmium laser is safe and effective in the treatment of urinary pathology. Use of laser fibers larger than 200 microm occasionally limits deflection of the endoscope into a lower-pole or dependent calix.
我们报告了133例接受钬激光治疗患者的手术及术后早期并发症和局限性。并发症包括尿路感染（n = 3）、术后心动过缓（1例）、T波倒置（1例）、顽固性胁腹痛（1例）、尿潴留（1例）、无法用365微米光纤进入下极肾盏（9例）、结石移位（5例）以及因视野不佳而终止手术（2例）。未发生输尿管穿孔或狭窄，且无并发症直接归因于激光。在本研究中，钬激光能够粉碎所有尿路结石。根据我们的初步经验，钬激光治疗尿路疾病安全有效。使用大于200微米的激光光纤有时会限制内镜向下极或下垂肾盏的偏转。
