输尿管镜下钬激光碎石术治疗输尿管结石疗效分析

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1、福建医科大学硕士学位论文输尿管镜下钬激光碎石术治疗输尿管结石疗效分析姓名：洪怀山申请学位级别：硕士专业：外科学（泌尿外）指导教师：许恩赐20090301UreteralcalcufitreatedwithtransureteroscopicHolmium：YAGlaserlithotripsyPostgraduteHongHuaiShanTutorXuEn．ciAbstractobjectiveToevaluatetheefficiencyandthepreventionofcomplicationoftransureteroscopicHolmium：YAG

2、laserlithotripsyonureteralcalculi．MethodsFromJune2003toJuly2008，382casesofureteralstonestreatedbytransureteroscopicHomlium：YAGlaserlithotripsyinoursinglecenterwereretrospectivelyanalyzed．ResultOf382cases，theoverallsuccessfulrateinasingleprocedurewas92．93％(355／382)．Thesuccessfulrates

3、offragmentationinasingleprocedurefortheupper'middleandlowerlevelsofureteralstoneswere84．35％(97／115)，91．49％(43／47)and97．73％(215／220)，respectively．27patientsfailedonthefirstlithotripsy．8ofthemwerefailedduetothestonesreturningtothekidneyandweretreatedwithextracorporealshockwavelithorip

4、sy(ESWL)laterafterplacementofDouble-Jstent．Therewere17casesfailedtoinserttheureteroscope．13ofthemcasesfailedowingtothestenosisoftheureter．2caseswerehaltedduetothetormosityofureterand2casesfailedduetotheureteralmucosadropsy．15ofthemchoseforlithotomyandtheother2casesreceivedESWLtreatm

5、ent．2casesweretransferredtoopensurgerybecauseofalotofgrenulationtissueandfloccule．Generally，complicationsoccurredin6cases．4ofthemhadfeVer(T>39℃)aftersurgery,3caseswerecuredafterantimicrobialtherapy,1casehadsepticshockandwascuredafterthetreatmentofantiinfectionandantishock．neother2ca

6、seswereencounteredureterperforationandlatterallywerecuredafterplacingdouble—Jtube．nlemeanoperativetimeWas45min．Theaveragehospitalizationtimewas4．5d．ConclusionsThetransureteroscopicHolmium：YAGlaserlithotripsyhastheadvantagesofminimalinvasion，safety,efficiencyandlowincidenceofcomplica

7、tion．KeywordsHolmiumlaser；Lithotfipsy：Ureteroscopy：Ureteralcalculi2学位论文原创性声明和版权使用授权书学位论文原创性声明本人郑重声明：所呈交的学位论文，是本人在导师的指导下，独立进行研究工作所取得的真实成果。除文中已注明引用的内容外，本论文不含任何其他个人或集体已经发表或撰写过的作品成果。对本论文的研究做出重要贡献的个人和集体，均已在文中以明确方式标明。本人完全意识到本声明的法律结果由本人承担。、作者签名(手写)．笾蜂步幽年』月上日导师签名(手写)：学位论文版权使用授权书年—五月J／_日本学位论

8、文作者完全了解学校有关保留、使用学位论