摘要
目的 对 2 3 4例经输尿管镜治疗输尿管结石的资料进行回顾性分析 ,以探讨治疗输尿管结石的方法。 方法 采用直接进镜法对 2 3 4例输尿管结石患者进行经输尿管镜碎石和取石治疗。 结果 2 3 4例患者经输尿管镜成功取出结石 185例 ,成功率为 79% ;中、下段结石患者为 2 0 1例 ,169例成功地取出结石 ,成功率为 84 1%。 2例患者出现术中输尿管穿孔 ,1例发生输尿管粘膜撕脱 ,手术并发症为 1 3 %。 结论 输尿管镜取石术 ,是治疗输尿管结石尤其是中下段输尿管结石的重要手段。在输尿管导管引导下 ,采用直接进镜法 ,术后留置输尿管导管 ,可提高取石成功率 ,降低并发症。
Subject To sum up the experience in the treatment of ureteric lithioasis with ureteroscope. Methods From January. 1991 to November 1998 234 patients with ureteric lithiasis were treated with lithotripsy of ureteroscopy. Results 185 of 234 the patients (79%) were successfully treated with lithotripsy of ureteroscopy. Three of the patients (1.3%) had operative complications (ureterperforation 2 patients and ureteral mucosa avulsion in 1). Conclusions Lithotripsy of ureteroscope is one of the effective methods in the treatment of ureteric lithiasis,especially in the lower part of ureters.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2000年第2期119-121,共3页
Chinese Journal of Surgery
