低压输尿管镜治疗合并感染的急性输尿管梗阻  

Low pressure ureteroscope in treatment of acute ureteral obstruction associated with infection

作　　者：张新明 郭德迎 叶宗岳 何海填 吴洪涛 

机构地区：[1]蛇口人民医院泌尿外科,广东深圳518067

出　　处：《国际泌尿系统杂志》2016年第5期715-717,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨术中低压技术治疗输尿管结石梗阻合并严重感染的可行性.方法 对28例输尿管结石合并急性感染的患者一期行输尿管镜下置入F5双J管引流;二期采用术中保留F5双J管、留置F8尿管、低灌注水压等低压技术以小口径输尿管镜行钬激光碎石术.结果 28例一期均行输尿管镜留置双J管引流成功.二期采用输尿管镜下钬激光碎石术,23例术中保留双J管,5例术中未保留双J管.2组中均有2例出现术后发热;分别有0例、1例出现结石退回肾内.所有病例于术后3个月复查无结石残留,患者肾功能不同程度恢复.结论 一期采用输尿管镜下留置F5双J管,二期采用术中低压技术并以小口径输尿管镜行钬激光碎石术解除梗阻是治疗合并感染的急性输尿管梗阻的有效治疗手段.Objectives To explore the feasibility of low pressure technology in the treatment of ureteral calculus obstruction with serious infection.Methods 28 cases of patients with ureteral calculi associated with acute infection of first phase placed F5 double-J tube under ureteroscopy.F5 double -J tube was retained,F8 urine tube was indwelled in phase Ⅱ and low perfusion pressure was used in small ureteroscopic holmium laser lithotripsy.Results 28 cases of ureteroscopies were performed successfully.23 cases retained double-J tube during the operation,5 cases did not retained the double-J tube.In the two groups,2 cases had fever after operation,stones returned within the kidney in one case.All patients recovered renal function with different degree without residual stones after 3 months.Conclusions F5 double-J tube was retained under ureteroscopy in first phase and in phase Ⅱ,F8 urine tube was indwelled and low perfusion pressure was used in small ureteroscopic holmium laser lithotripsy is the effective treatment of acute ureteral obstruction associated with infection.

关 键 词：输尿管梗阻 输尿管镜 感染 

分 类 号：R699[医药卫生—泌尿科学]