直视下输尿管镜液压扩张联合电凝钩治疗输尿管狭窄  

The management of ureter stricture with the ureteroscopy by hydraulic pressure and the electrocision

作　　者：王宇雄[1] 周沈阳[1] 范立新[1] 刘百川[1] 罗友华[1] 钟瑞伦[1] 

机构地区：[1]广东省第二人民医院泌尿外科,广州510317

出　　处：《国际泌尿系统杂志》2006年第4期435-437,共3页International Journal of Urology and Nephrology

摘　　要：目的总结和评价输尿管镜手术时输尿管狭窄入镜及其处理。方法分析了笔者自2005年3月至2006年1月收治的182例输尿管镜手术患者的资料。结果24例输尿管狭窄者,采用技巧性的旋转及其变换角度通过液压扩展直视入镜的有6例,使用金属橄榄头扩张的有4例,配合电凝钩电切开的有10例,辅助输尿管气囊扩张管扩张的有2例,1例中转开放手术,1例插管碎石。结论输尿管狭窄并不少见,液压扩张辅助电凝钩切割狭窄环是一个安全有效的方法,熟悉输尿管解剖与操作技巧十分关键。Objectives To analyse the causes of difficult access during rigid transurethral ureteroscopy and how to manage. Methods From March 2005 to January 2006,182 cases of rigid transurethral ureteroscopy were evaluated retrospectively. Results Twenty four of 182 cases were difficult to perform ureteroscopy, but 10 of 24 cases succeeded with skill. Twelve of 14 cases with ureter stricture or flexura were rendered to dilate satisfactorily, but for the other two, one turned to operation,and one to ESWL with ureter catheter. Conclusions Difficult access into ureter is not rare, we should be familiar with the anatomy of ureter and master the techniques of operation.

关 键 词：输尿管梗阻 输尿管镜检 电凝法 

分 类 号：R699.4[医药卫生—泌尿科学]