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- 2016

一体式软硬质输尿管镜钬激光碎石取石术治疗输尿管上段结石的临床观察 Clinical Evaluation of Tip-flexible Ureteroscopy with Holmium Laser Lithotripsy for Upper Ureter Stones

张林,刘同族,王行环,高峥岩,徐畅

Keywords: 一体式软硬质输尿管镜,输尿管结石,钬激光

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Abstract:

目的:探讨一体式软硬质输尿管镜钬激光碎石取石术治疗输尿管上段结石的有效性和安全性。方法:单侧输尿管上段结石患者37例,结石最大径(1.43±0.37)cm,均采用一体式软硬质输尿管镜钬激光碎石取石术治疗。结果:随访4周,均无输尿管黏膜撕脱、尿源性脓毒血症、输尿管穿孔等重大并发症,术后发热2例,输尿管狭窄1例。残石2例,残石最大径分别为4.9mm和6.3mm,一期清石率为94.6%(35/37)。结论:一体式软硬质输尿管镜钬激光碎石取石术治疗输尿管上段结石安全、有效,可作为推荐治疗方案之一

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