输尿管镜在输尿管梗阻中的诊治价值  

Application of ureteroscopy in the diagnosis and treatment of ureteral obstruction

作　　者：李辉[1] 陈文彬[1] 葛金山[1] 刘军平[1] 崔书平[1] 张伟玲[1] 刘建震[1] 

机构地区：[1]中国人民解放军第二六零医院泌尿外科,石家庄050071

出　　处：《中国微创外科杂志》2005年第10期848-849,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨输尿管镜在输尿管梗阻诊治中的价值。方法应用输尿管镜对52例非结石性输尿管梗阻进行诊治。结果输尿管狭窄35例(行输尿管镜硬性扩张19例,气囊扩张13例,腹腔镜下输尿管成形术3例),输尿管息肉13例行钬激光切除,输尿管癌3例改行开放手术,腔静脉后输尿管1例改行输尿管成形术。手术并发黏膜明显裂伤或黏膜下假道2例,输尿管穿孔1例,其它并发症。结论输尿管镜术能明确输尿管梗阻的病因,并能采取相应治疗。Objective To evaluate the application value of ureteroscopy in the diagnosis and treatment of ureteral obstruction. Methods Clinical data of 52 cases of non - calculous ureteral obstruction treated by ureteroscopy were analyzed retrospectively. Results Of 35 cases of ureteral stricture, 19 cases of routine dilatation, 13 cases of balloon dilatation, and 3 cases of ureteroplasty were accomplished under ureteroscope. Holmium laser resection was employed in 13 cases of ureteral polyps. Conversions to open surgery were required in 3 cases of ureteral cancer, and an ureteroplasty was carried out in 1 case of retrocaval ureter. Complications included 2 cases of ruptured mucous membrane or urethral false passage and 1 case of ureteral perforation. Conclusions Ureteroscopy can clarify the etiology of ureteral obstruction and offer corresponding treatment.

关 键 词：输尿管镜 输尿管梗阻 

分 类 号：R693[医药卫生—泌尿科学]