尿道黏膜麻醉下输尿管镜技术处理输尿管中下段石街  

The Treatment of Middle and Lower Ureteral Stone Street with Ureteroscopy Technique under Urethral Mucosa Anesthesia

作　　者：李明杰[1] 魏巍[1] 刘霞[1] 王祥涛[1] 杨彬[1] 孙晓璐[1] 张见超[1] 郭松[1] 徐洋[1] 

机构地区：[1]山东省交通医院泌尿外科,济南250031

出　　处：《中国微创外科杂志》2013年第6期519-520,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨尿道黏膜表面麻醉下输尿管镜技术治疗输尿管中下段石街的可行性及临床效果。方法 2008年10月～2012年10月,对37例输尿管中下段石街行输尿管镜下碎石取石术。门诊手术。2%利多卡因尿道黏膜表面麻醉,将输尿管镜表面涂体腔器械导入润滑剂(舒泰)后置入,气压弹道碎石,术后均不留置输尿管支架管。结果治疗成功36例,1例男性左输尿管中段石街病人不能耐受而入院行腰麻硬膜外联合麻醉处理。手术时间15～54 min,平均37 min,无发热,无明显腰痛及尿频、尿急等膀胱刺激症状。结论尿道黏膜表面麻醉下输尿管镜手术治疗输尿管中下段石街,可以不放置输尿管支架管,既简便,又安全可靠。Objective To explore the clinical effect and feasibility of the treatment of middle and lower ureteral stone street by ureteroscopy technique under urinary tract mucous surface anesthesia. Methods From October 2008 to October 2012, 37 patients with ureteral stone street underwent ureteroscopic lithotripsy in outpatient department. 2% lidocaine was administered to urinary tract mucous surface for anesthesia. Postoperative ureteral stents were not retained. Results 36 cases were successfully treated and 1 male patient with left middle ureteral stone street received combined spinal and epidural anesthesia for being unable to tolerate. The operation time was 15 - 54 min with an average of 37 min. No fever, no obvious waist pain, no bladder irritation symptoms like frequent urination and urgent urination were observed. Conclusions Under urinary tract mucosal surface anesthesia, the treatment of middle and lower ureteral stone street by ureteroscopy technique is easy and reliable without ureteral stents.

关 键 词：输尿管镜 输尿管石街 局麻 

分 类 号：R699[医药卫生—泌尿科学]