Clinical study of holmium laser lithotrity by percutaneous nephroscope in treatment of 103 cases with renal calculi / 中国基层医药

ABSTRACT

Objective Discusses the clinical effect of makes the micro fistula after Pi Shenjing the holmium laser lithotrity treatment kidney stone and the complication prevention measure. Method Under the color ultra locali-zatiun puncture,and after making the micro fistual,uacs the wolf sign(WOLF)8/9.8 F ureter hard mirror,apphes the holmium laser stone crusher,the power establishes in 12～20 W,carries on crushed stone parallel conjunction Shi Qianqu the stone. Results This group of 103 examples,the even puncture is successful. The single channel crushed stone takes the stone 97 examples, the double channel takes the stone 6 examples. The complete case main stone is taken out, the pure renal pelvis or the calyx stone takes leads is 96% only, sends, the cast or the antler stone takes on-ly leads is 67%. Surgery time is 90～150 min generally,the special 1 example 7 hours,in the technique the obvious oozing of blood 5 examples,the surgery ended when the serious massive hemorrhage 1 example,changed the opening surgery, the excision trouble kidney,periphery did not have the internal organs damage and the death case. After the technique,is hospitalized the time is 7 ~ 15 d. After the technique,pcor character in vitro seismic wave crushed stone case. Makes a follow-up visit the complete case 2 ~ 6 months, hematuria, frequent micturition, the urine pain and the waist ache symptom vanishes,non-stone recrudescence. Conclusion Micro makes the fistula after Pi Shenjing the liolmium laser lithotrity has the wound to be small,the complication few,restores,unvoiced aspirated consonants to e-liminate the stone rate high quickly, the curative effect accurate and so on merits, is worth the clinical promoted use.