输尿管镜技术在急性输尿管梗阻的运用  

Treatment of ureteroscope in acute ureteral obstruction

作　　者：潘卫兵[1] 陈雪松[1] 金岩[1] 谢礼仁 张权[1] 

机构地区：[1]深圳市坪山人民医院泌尿外科,广东深圳518118

出　　处：《中国医药导报》2009年第19期223-224,共2页China Medical Herald

摘　　要：目的:探讨输尿管镜技术在急性输尿管梗阻中临床应用的安全有效性。方法:对68例经尿道输尿管镜术(URS)诊治急性输尿管梗阻的临床资料进行回顾性研究。结果:成功解除急性梗阻66例,有效率为97.1%。结石性梗阻58例,置双J引流管57例,取石碎石45例,1例置管碎石失败改开放手术;非结石性梗阻10例,根据情况取活检2例,放置双J引流管9例,1例置管失败改血液透析。结论:输尿管镜技术的急诊运用能快速、高效、安全地解除梗阻,达到保护肾功能的目的。Objective： To evaluate the effect and safety of ureteroscoscope in the treatment of acute ureteral obstruction. Methods： Retrospectively summarize the clinical data of 68 patients with acute ureteral obstruction treated with ureteroscoscope. Results： Successfully relieved the acute obstruction in 66 cases, and cured rate was 97.1%. Obstruction caused by calculus in 58 cases, 57 cases were treated with double J conduit enclosed, 45 cases were treated with transurethral ureteroscopic ballast lithotrity, 1 case was treated with operation after unsuccessful lithotrity. Obstruction caused by none calculus in 10 cases, 2 cases checked by biopsy, 9 cases were treated with double J conduit enclosed,1 case was treated with hemodialysis after conduit enclosed unsuccessfully. Conclusion： The treatment of ureteroscoscope can relieve the acute obstruction fleetly, effectively, safely, and safeguard the renal function.

关 键 词：输尿管镜 输尿管梗阻 诊断 治疗 

分 类 号：R69[医药卫生—泌尿科学]