输尿管镜在梗阻性肾积脓中的应用(附21例报告)  

Application of Ureteroscope in Treatment of Obstructive Pyonephrosis (A Report of 21 Cases)

作　　者：吴跃[1] 胡华[1] 付炼 刘超颖[1] 何英剑[1] 马超[1] 

机构地区：[1]重庆市第五人民医院泌尿科,重庆400062

出　　处：《四川医学》2016年第3期308-310,共3页Sichuan Medical Journal

摘　　要：目的探讨输尿管镜在梗阻性肾积脓中的应用价值。方法回顾性分析21例梗阻性肾积脓患者的临床资料,其中男3例,女18例,输尿管结石18例,晚期肿瘤压迫输尿管3例。结果 21例通过碎石或留置双J管成功解除梗阻,控制感染,痊愈出院。其中硬膜外麻醉18例,静脉麻醉1例,局麻2例。结论应用输尿管镜治疗梗阻性肾积脓,创伤小、安全、有效,可作为治疗该病的首选方法。Objective To explore the application value of ureteroscopy in treatment of obstructive pyonephrosis. Methods Retrospective analysis of the clinical data of 21 patients with obstructive pyonephrosis,3 male,18 female,18 cases of ureteral calculus,and 3 cases of ureteral compression with advanced tumor. Results 21 cases were successfully relieved of obstruction,controlled of infection,and cured by breaking gravel or indwelling double J tube,including 18 cases of epidural anesthesia,1 case of intravenous anesthesia,2 cases of local anesthesia. Conclusion The application of ureteroscopy for the treatment of obstructive pyonephrosis was safe and effective with small trauma,which could be used as the preferred method for the treatment of this disease.

关 键 词：输尿管镜 肾积脓 

分 类 号：R699[医药卫生—泌尿科学]