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目的:探讨新型组合式输尿管软镜对肾结石治疗体会。方法:采用组合式输尿管软镜、钬激光配200μm钬激光光纤,治疗肾结石共28例。结石直径0.8～2.0 cm。结果:28例均成功插入输尿管软镜,手术成功率24/28(85.7%),手术时间38～90 min,平均55 min。术后住院时间3～8 d,平均4.8 d。术后并发症:轻度血尿28例,腰痛10例,发热4例,输尿管扩张鞘拔除困难1例。无大出血、输尿管穿孔、感染性休克等严重并发症。术后3 d复查KUB显示24例结石被粉碎成细小结石。28例肾结石术中使用组合式输尿管软镜套管共7根。结论:铂立组合式输尿管软镜配合钬激光碎石是治疗肾结石的有效方法之一。
Objective: To explore the new combined ureteroscopic treatment of kidney stones. Methods: The combined ureteroscope, holmium laser with 200μm holmium laser fiber, a total of 28 cases of treatment of kidney stones. Stone diameter 0.8 ~ 2.0 cm. Results: All the 28 cases were successfully inserted into the ureteroscope. The success rate was 24/28 (85.7%). The operation time was 38-90 minutes (average 55 minutes). Postoperative hospital stay 3 ~ 8 d, an average of 4.8 d. Postoperative complications: mild hematuria in 28 cases, back pain in 10 cases, fever in 4 cases, ureteral dilatation and sheath removal in 1 case. No major bleeding, ureteral perforation, septic shock and other serious complications. 3 days after the review KUB showed 24 cases of stones were crushed into small stones. 28 cases of renal calculus surgery combined ureteral soft tube casing a total of seven. Conclusion: Platinum combination ureteroscope with holmium laser lithotripsy is an effective method for the treatment of kidney stones.