输尿管镜术中进退镜困难的原因分析与对策  

Analysis and strategies of difficult accesses with rigid transurethral ureteroscopy

作　　者：肖迪[1] 孙永昌[1] 向阳[1] 

机构地区：[1]武汉市汉口医院泌尿外科,湖北武汉430012

出　　处：《现代泌尿外科杂志》2013年第4期368-370,共3页Journal of Modern Urology

摘　　要：目的分析在输尿管镜手术中发生进退镜困难的原因及其相应处理方法。方法分析2006年5月～2012年7月收治的450例次输尿管镜手术患者的临床资料。结果 65例进镜困难,通过技巧性旋转、钬激光内切开、控制液压灌注泵压力、改变患者体位、输尿管扩张等方法处理,53例手术成功。6例退镜困难,通过增加肌松、镇痛药,反复耐心旋转镜体等,均成功退镜。结论输尿管镜手术进退镜困难的原因复杂多样,克服输尿管进退镜困难的关键是掌握操作技巧,综合运用各种技巧能提高手术成功率。Object the solutions. Methods ve To analyze the causes of difficult accesses during rigid transurethral ureteroscopy and to find out Data of 450 cases treated with transurethral ureteroscopy during May 2006 to July 2012 were evalua- ted. Results The difficulties in the ureteroscopy insertion occurred in 65 cases, of which 53 cases succeeded by rotating the ureteroscopy skillfully, adjusting the pressure of hydraulic irrigation, changing the position of patients, dilating the ureter, and so on. The difficulties in the ureteroscopy exsertion occurred in 6 cases, and they all succeeded in pulling out ureteroscopy by adding skeletal muscular relaxants and analgesia, and rotating the ureteroscopy patiently. Conclusion Since the causes of dif- ficult accesses are complicated, it＇s key to master surgical techniques to overcome such difficulties with rigid transurethral uret- eroscopy. The integrated application of several techniques can increase the success rate of operation.

关 键 词：输尿管镜术 输尿管疾病 输尿管损伤 手术 并发症 手术技巧 

分 类 号：R693[医药卫生—泌尿科学]