输尿管肾镜直视下套石篮取石的体会  

The experienced basket extraction under direct vision of ureteronephroscopy

作　　者：浦金贤[1] 郭震华[1] 侯建全[1] 欧阳俊 李纲[1] 

机构地区：[1]苏州医学院附属第一医院泌尿外科

出　　处：《临床泌尿外科杂志》1996年第3期133-135,共3页Journal of Clinical Urology

摘　　要：应用ＷＯＬＦ输尿管肾镜直视下套石篮取石法治疗１８９例输尿管结石，其中６７例为ＥＳＷＬ后结石未粉碎而再行输尿管肾镜套石篮取石，１４例有肾绞痛和血尿症状而Ｂ超和ＩＶＰ未见明显结石，经输尿管肾镜探查证实为输尿管结石并行套石篮取石。结果：套石篮取石成功１７４例，总有效率为９２．１％。术后并发高热４例，均经对症处理治愈；输尿管穿孔８例，均立即行开放手术；输尿管粘膜脱垂１例，行保守治疗。其并发症发生率为７％（１３／１８９）。认为，应用此术治疗输尿管结石必须正确掌握适应证；术中扩张输尿管口是减少术后并发症、提高成功率的关键，此术具有创伤小、手术及住院时间短等优点，是治疗输尿管结石较为理想的方法。patients with 235 ureteral stones (averaged 7 mm×9 mm in diameter)、were treated by ureteronephroscopic basket extraction with computercontrolled high pressure pump for ureter dilation. The successful rate of stone extracted under direct vision was 92%. The main complications were high fever, in 2.1%cases; ureter perforation,in 4.2%. Open operation were perbrmed on 5.8%patients. It is concluded that basket extraction of ureteral stone under direct vision of ureteronephroscopy need less equipment,but with a high successful rate and few complications,and it is a idel treatment for ureterd stones.

关 键 词：输尿管肾镜术 输尿管结石 套石篮 

分 类 号：R693.405[医药卫生—泌尿科学]