输尿管镜嵌顿的预防及处理(附14例报告)  

Prevention and disposal of ureteroscopic embedding(report of 14 cases)

作　　者：甘道举[1] 赖建平[1] 王学华[1] 文小平[1] 常丛旺[1] 郭鹏飞[1] 

机构地区：[1]宜宾市第一人民医院泌尿外科,四川宜宾644000

出　　处：《泸州医学院学报》2013年第6期613-615,共3页Journal of Luzhou Medical College

摘　　要：目的：探讨输尿管镜嵌顿的预防及处理。方法：对3500例输尿管镜检及输尿管镜下气压弹道碎石术术中发生输尿管镜嵌顿的病例资料作回顾性分析。结果：3500例患者中，发生输尿管镜嵌顿14例，其中，男8例，女6例，平均年龄44.5岁。嵌顿部位位于上段输尿管2例，中段3例，下段9例。8例成功退镜，6例失败（其中4例行开放输尿管纵向切开退镜、输尿管吻合或移植术，2例因输尿管严重撕脱行肾脏切除），随访1 - 3年，预后良好。结论：输尿管镜是诊断和治疗输尿管疾病的常用方法，操作不当可导致严重的并发症，如能妥善处理，则预后良好。Objective： To explore the prevention and disposal of ureteroscopic embedding. Methods： 3500 cases subjected to ureter examination or pneumatic ]ithotripsy by ureteroscopy were retrospectively analyzed. Results： Ureteroscopie embedding occurred in to 14 cases, including 8 males and 6 females, and the average age was 44.5 years. The embedding sites were 2 cases at the achieved retrieval proximal ureter, 3 cases at the middle ureter and 9 cases at the distal ureter and 8 cases a while 6 cases failed and converted to open surgery. During 1 to 3 years follow-up ,the prognosis was satisfactory. Conclusion： Ureteroscopy is a valuable solution in the therapeutics of ureteric lithiasis and diagnosis of ureter diseases, but improper operation may leads to severe complications. The prognosis is satisfactory by proper manyement.

关 键 词：输尿管镜 嵌顿 预防 处理 

分 类 号：R-693[医药卫生]