输尿管口切开术在腔内治疗输尿管膀胱壁段结石的应用  

Ureteral meatotomy with needle electrode in the management of submucosal vesicoureteral stones

作　　者：李建伟[1] 王芳[1] 文斌[1] 王伟[1] 李刚[1] 覃庆平[1] 周毅[1] 

机构地区：[1]柳州市人民医院泌尿外科,广西柳州545001

出　　处：《临床泌尿外科杂志》2007年第4期260-261,263,共3页Journal of Clinical Urology

摘　　要：目的:探讨输尿管口切开术在输尿管膀胱壁段(输尿管壁段)结石腔内治疗中的应用价值。方法:选取输尿管壁段结石患者25例,经尿道途径置入针形电极剖开输尿管壁段黏膜,暴露结石;然后行输尿管镜下气压弹道碎石,术后留置双J导管,6个月后复查B超和尿常规。结果:21例患者成功取出结石,3例输尿管穿孔,1例输尿管离断,行开放手术治疗。术后4周拔除双J导管,6个月后复查B超与尿常规未见患侧积水和尿路感染。结论:输尿管口切开术是提高输尿管壁段结石腔内治疗成功率的有效手段。Objective：To evaluate ureteral meatotomy in the management of submucosal vesicoureteral stones. Methods：The submucosal vesicoureteral stones was shattered by transureteroscopic pneumatic lithotripsy after ureteral meatotomy was undertaken with a needle electrode in 25 cases, The patients have been followed up for 6 months. Results：Lithotripsy（21 cases） was successfully achieved. 4 cases were transferred to open surgery for ureter perforation（3 cases） and mutilation（1 case）. Complications（ureteric orifice stricture or urinary infection） didn＇t occurred in the patients（10 cases） followed up after 6 months. Conclusions x Transurethral ureteral meatotomy is safe and effective procedure associated with minimal complications when carefully done in the treatment of the ureterovesical junction stones.

关 键 词：输尿管口切开术 输尿管结石 碎石术 

分 类 号：R699.4[医药卫生—泌尿科学]