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目的:总结临床应用钬激光联合双频双脉冲激光治疗复杂膀胱结石的体会。方法:对37例复杂膀胱结石患者采用钬激光联合双频双脉冲激光碎石术进行治疗。结果:37例复杂膀胱结石患者的最大结石长径均>35mm。其中31例为多发膀胱结石,6例为单发膀胱结石,均一次碎石成功,术中、术后无严重并发症。平均手术时间53m in,平均激光工作时间45m in。术后平均住院3.7d。37例术后随访2~24月,平均9.8月,B超未见结石复发,无排尿不畅等并发症。结论:钬激光联合双频双脉冲激光碎石术治疗复杂膀胱结石具有操作简单、安全、对软组织损伤小、碎石高效的优点。
Objective: To summarize the experience of clinical application of holmium laser and dual-frequency double-pulse laser in the treatment of complicated bladder stones. Methods: Thirty-seven patients with complicated bladder stones were treated with holmium laser and dual-frequency dual-pulse laser lithotripsy. Results: The maximum diameter of the largest stones in all 37 patients with complicated bladder stones was> 35 mm. Among them, 31 cases were multiple bladder stones and 6 cases were single bladder stones, all of which were successful in one time. There were no serious complications during and after operation. The average operation time 53m in, the average laser working time 45m in. The average postoperative hospital stay 3.7d. 37 cases were followed up for 2 to 24 months, an average of 9.8 months, no recurrence of stones B, no complications such as poor urination. Conclusion: Holmium laser combined with dual-frequency and double-pulse laser lithotripsy has the advantages of simple operation, safety, less damage to soft tissue and high efficiency of gravel in the treatment of complex bladder stones.