小儿输尿管镜联合电切镜治疗输尿管开口狭窄的膀胱壁内段结石临床应用  

作　　者：于杰 邓争鸣[1] 董永[1] 李友念 李响 黄明杰 丁云涛 赵小东 刘杰 欧明白 

机构地区：[1]安徽省五河县人民医院,233300

出　　处：《浙江临床医学》2023年第10期1493-1495,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨小儿输尿管镜联合等离子电切镜治疗输尿管开口狭窄的膀胱壁内段结石的临床应用价值。方法回顾性分析本院泌尿外科于2018年10月至2023年3月收治需要采用输尿管镜技术治疗的输尿管结石患者485例。输尿管壁内段结石126例,其中21例因常规输尿管镜碎石失败,改行等离子电切镜切开输尿管开口后再联合小儿输尿管镜碎石。结果21例手术均成功,无结石上移,无输尿管穿孔损伤,无严重血尿,碎石取石率100%。门诊定期随访3~24个月,未发现膀胱输尿管反流、输尿管狭窄等远期并发症。结论小儿输尿管镜联合等离子电切镜治疗输尿管开口狭窄的膀胱壁内段结石,效果好,值得临床应用。Objective To investigate the clinical application value of ureteroscopy combined with plasma resections in the treatment of bladder intramural calculi with ureteral orifice stenosis in children.Methods A total of 485 cases of ureteral calculi requiring ureteroscopy in the Department of Urology,Wuhe County People's Hospital from October 2018 to March 2023 were retrospectively analyzed.There were 126 cases of intramural ureteral calculi,of which 21 cases were treated with ureteroscopic lithotripsy combined with ureteroscopic lithotripsy due to the failure of conventional ureteroscopic lithotripsy.Results The operation was successful in all 21 cases,no stone upward movement,no ureteral perforation injury,no severe hematuria,and the stone free rate was 100%.No long-term complications such as vesicoureteral reflux and ureteral stricture were found during a follow-up period of 3-24 months.Conclusion Ureteroscopy combined with plasma resectable lithotripsy in the treatment of pediatric bladder intramural calculi with ureteral orifice stenosis is reliable and worthy of clinical application.

关 键 词：小儿输尿管镜 电切镜 膀胱壁内段结石 输尿管口切开术 

分 类 号：R699.4[医药卫生—泌尿科学]