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目的:评价钬激光对泌尿系统疾病进行腔内手术与治疗的临床效果。方法:2339例使用钬激光通过泌尿不同专科腔镜,对泌尿系统腔内多种病变组织进行汽化切除、结石碎石。结果:对前列腺组织的切除可达剜除的效果,与开放手术摘除前列腺的解剖学目标相同;对其他病变组织的切除,可进行组织层面的精确分离切除;对结石的粉碎率达100%,可粉碎腔镜能到达的任何部位、任何大小和成分的结石;通过不同腔镜,可一次性麻醉并同时治疗腔内多种病变。结论:钬激光是腔内泌尿外科的重要微创手术工具,既可碎石,又可进行病变组织的精确切除,一机多用,安全微创,疗效可靠。
Objective: To evaluate the clinical effect of holmium laser for endovascular surgery and treatment of urinary system diseases. Methods: Totally 2339 patients were treated with holmium laser through the special laparoscope of urinary tract, and the lesions of the urinary system were removed by vaporization. Results: The resection of prostate could achieve the effect of removal of the prostate, which was the same as the anatomical goal of prostate removal in the open surgery. The excision of the other lesions could be performed by the precise separation and resection of the tissue layer. The rate of the stone was 100% It can crush any part of the endoscope can reach, any size and composition of the stone; through a different endoscopy, a one-time anesthesia and simultaneous treatment of a variety of intracavitary lesions. Conclusion: Holmium laser is an important minimally invasive surgical tool in endourology. It can not only crush stones, but also can accurately remove the diseased tissue. It is safe and minimally invasive with one multi-purpose and safe minimally invasive technique.