| 输尿管开口囊肿、狭窄及膀胱颈部挛缩的HO:YAG激光治疗 |
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| 引用本文： | 戴胜国,冷静,薄隽杰,黄旭元,李东,陈斌,朱菁,张慧国.输尿管开口囊肿、狭窄及膀胱颈部挛缩的HO:YAG激光治疗[J].应用激光,2001,21(4):285-286. |
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| 作者姓名： | 戴胜国 冷静 薄隽杰 黄旭元 李东 陈斌 朱菁 张慧国 |
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| 作者单位： | 1. 上海第二医科大学附属仁济医院泌尿外科，上海200001
2. 上海激光医学研究中心，上海200001 |
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| 摘 要： | 目的利用HOYAG激光的软组织切割及止血作用,对输尿管开口囊肿、狭窄及膀胱颈部挛缩的患者行激光治疗,并观察疗效.方法采用HOYAG激光对6例输尿管开口囊肿,15例输尿管开口狭窄(其中3例合并输尿管结石),32例膀胱颈部挛缩进行治疗,观察术中出血、术后并发症、膀胱挛缩患者手术前后Qmax.结果总计53例患者通过HOYAG激光治疗,均获得满意临床疗效,术中几乎无出血,输尿管开口囊肿及狭窄患者,术毕能顺利留置F7双猪尾巴导管.膀胱颈部挛缩患者术后最大尿流率提高了7.6ml/s(7.2～14.8ml/s).结论HO;YAG激光对输尿管开口囊肿、狭窄及膀胱颈部挛缩是一种行之有效的治疗方法,且无出血,易于操作、安全、恢复快.尤其是输尿管结石合并输尿管开口狭窄患者,可通过HOYAG激光一次手术解决.
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| 关 键 词： | 输尿管开口囊肿 狭窄 膀胱颈部挛缩 HOYAG |
| 修稿时间： | 2001年5月31日 |
Holmium Laser Resection of the Ureter Cyst,Stricture and Bladder Neck Contracture |
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| Dai Shengguo ,Leng Jing ,Bo Junjie ,Huang Xuyuan ,Li Dong ,Chen Bing ,Zhu Jing ,Zhang Huiguo.Holmium Laser Resection of the Ureter Cyst,Stricture and Bladder Neck Contracture[J].Applied Laser,2001,21(4):285-286. |
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| Authors: | Dai Shengguo Leng Jing Bo Junjie Huang Xuyuan Li Dong Chen Bing Zhu Jing Zhang Huiguo |
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| Institution: | Dai Shengguo 1,Leng Jing 1,Bo Junjie 1,Huang Xuyuan 1,Li Dong 1,Chen Bing 1,Zhu Jing 2,Zhang Huiguo 2 |
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| Abstract: | Objective: Toussess the early efficacy and safety of holmium laser resections of the ureter stricture, bladder neck contracture. Methods :A total of 53 patients underwent 53 procedures including incision of ureter stricture and bladder neck contracture .The resection time, holmium energy use, catheter retention time and hospital stay were all recorded. Results: Procedures were considered successful, with no severe complications such as hematuria.The mean Qmax increased from 7.2ml/s to 14.8ml/s after 3 months. Conclusions: The HO:YAG laser demonstrates precise hemostatic cutting and warrants further investigation as a multipurpose urologic laser. |
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| Keywords: | ureter cyst stricture bladder neck contracture HO:YAG laser |
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