输尿管镜技术对急性输尿管梗阻的处理  

Application of ureteroscope in acute ureteral obstruction

作　　者：左泽平[1] 方军[1] 宇洪涛[1] 张勋初[1] 琚建军[1] 龚强[1] 

机构地区：[1]安徽省铜陵市人民医院泌尿外科,安徽铜陵244000

出　　处：《中国内镜杂志》2007年第11期1202-1204,共3页China Journal of Endoscopy

摘　　要：目的探讨输尿管镜技术对急性输尿管梗阻的诊断和处理价值。方法回顾性分析170例经尿道输尿管镜(URS)术诊治急性输尿管梗阻的临床资料。结果成功解除急性梗阻159例,有效率93.5%(159/170),结石性梗阻149例,取石碎石率85.9%(128/149);非结石性梗阻21例,包括狭窄、瓣膜、息肉、乳糜、血块、肿瘤等,视必要经病理检查并做相应处理。活检16例,放置引流管132例。结论输尿管镜技术对于输尿管梗阻性疾病具有诊断和治疗双重意义,快速、高效、安全,对合并持续肾绞痛及其他情况需急诊处理者尤为适宜。[Objective] To evaluate the value of ureteroscoscope technique in the diagnosis and treatment for the patientes because of acute ureteral obstruction. [Methods] Clinical data of 170 patients because of acute ureteral obstruction and treated by trans-urethral ureteroscoscope（URS） was analysed respectively. [Result] Succeed to relieve the acute obstruction in 159 cases, and total success rate was 93.5%. Among them, calculus were in 149 cases, stone-free rate was 85.9%（128/149）; None calculus was in 21 cases including stricture, valve, polyp, chyle, gore, and tumor, etc. It＇s necessissary to check by pathology and deal with the corresponding handle. 16 cases for biopsy and 132 cases indwelling double J tubes. [Conclusion] Ureteroscoscope has dual meaning in diagnosis and treat- ment for the patients because of acute ureteral obstruction. It is quick, safe and effective, especially to the mergeres who have nephralgia going on and other circumstances to need emergency caU handle.

关 键 词：输尿管镜 输尿管梗阻 诊断 治疗 

分 类 号：R693.4[医药卫生—泌尿科学]