线型电刀在泌尿外科的应用(附120例报告)  

Application of Linear Electrotome in Urology:Report of 120 Cases

作　　者：赵红[1] 曾晓春[1] 周剑云[1] 吕回[1] 傅平浪[1] 熊军辉[1] 

机构地区：[1]南昌市第二医院泌尿外科,南昌330003

出　　处：《南昌大学学报（医学版）》2010年第2期48-49,53,共3页Journal of Nanchang University：Medical Sciences

基　　金：南昌市科技局重点攻关及产业化科技资助项目(2006125)

摘　　要：目的探讨一种治疗泌尿外科梗阻或狭窄性疾病腔内微创治疗的新方法。方法对120例泌尿外科梗阻或狭窄性疾病患者在连硬外麻下实施线型电刀电切手术。结果 24例尿道狭窄患者中22例均一次手术成功,2例行再次手术成功。61例输尿管结石合并息肉患者在碎石取石同时将息肉切除成功。35例输尿管狭窄[其中2例为肾盂输尿管连接部狭窄(UPJO)]中32例一次手术成功,2例行再次手术成功,1例UPJO患者术后3个月改行开放手术治愈。结论线型电刀在泌尿外科应用是一种新的安全、有效的腔内微创治疗方法。Objective To explore a new method treatment of urological obstruction or stenosis by minimal invasion endourological technique.Methods 120 cases of urological obstruction or stenosis were treated with linear electrotome incision by ureteroscope.Results 24 cases of urethral stricture were treated successfully,22 cases by single surgery,2 cases by twice surgery.61 cases of ureteral stone with polyps,polyps was removed successfully at the same time of gravel and taking stone.35 cases of ureteral stricture were treated successfully（include 2 cases of UPJO）,32 cases by single surgery,2 cases by twice surgery,1 cases of UPJO was cured by open operation after 3 months.Conclusions Application of linear electrotome in the management of urological obstruction or stenosis gives simple performance.It has the advantages of minimal invasion,safety and reliability.

关 键 词：线型电刀 泌尿外科 梗阻 狭窄 

分 类 号：R693[医药卫生—泌尿科学]