输尿管硬镜上镜困难原因分析及处理  

Analysis of cause of difficult access during rigid transurethral ureteroscopy and management

作　　者：王宇雄[1] 周沈阳[1] 李逊[2] 吴开俊[2] 范立新[1] 

机构地区：[1]广东省第二人民医院泌尿外科,广东广州510317 [2]广州医学院第一附属医院微创外科中心泌尿外科,广东广州510230

出　　处：《中国内镜杂志》2006年第11期1190-1192,共3页China Journal of Endoscopy

摘　　要：目的总结和评价输尿管镜手术时上镜困难的原因及其对策。方法分析了2002年10月￣2005年6月收治的326例次输尿管镜手术患者的临床资料。结果24例上镜困难者,10例是采用技巧性的旋转及其变换角度才能入镜,14例有不同程度的狭窄或迂曲,经扩张或调整体位后有12例成功,1例中转开放,1例插管碎石。结论输尿管上镜困难并不少见,熟悉输尿管解剖与技巧性操作可提高取石率。[Objective] To analyse the cause of diffcult access during rigid transurethral ureteroscopy and how to manage that case. [Methods] From Oct 2002 to Jun 2005, 326 cases of rigid transurethral ureteroscopy were evaluated retrospectively. [Results] 24 of 326 cases were difficult to perform ureteroscopy, but 10 of 24 cases could be successfully to achieved with skill. 12 of 14 cases with ureter stricture or flexura were rendered to dilate satisfactlly, but for the other two, one tranfer to operation, and one ESWL with ureter catheter. [Conclusions] Difficult access to ureter is not rare. We should be familiar with the anatomy of ureter and master the techniques of operation.

关 键 词：输尿管镜术 治疗 输尿管结石 

分 类 号：R693[医药卫生—泌尿科学]