摘要
目的 :探讨及总结简化内窥镜术治疗输尿管梗阻的疗效及诊治经验。方法 :在镜检室骶麻下行输尿管镜术加气压弹道碎石治疗输尿管结石 75 0例 ;水囊扩张 ,输尿管镜硬性扩张与自制汽化电极切割输尿管疤痕 ,三者有机结合治疗输尿管狭窄 11例 ,钩状电极加输尿镜取石治疗输尿管囊肿 (并结石 2例 ) 7例。结果 :输尿管镜取石成功率 98.4% ,其中上段 12例滑入肾盂改行ESWL ,术中并发输尿管穿孔 3例 ,1例改行开放手术 ;11例输尿管狭窄及 7例输尿管囊肿全部治愈 ,术后随访无狭窄及返流。结论 :输尿管镜术是输尿管结石 ,狭窄和直径 <30mm的囊肿首选治疗方法 ,不仅疗效满意且病人乐意接受。
Objective:To study and sum up the experience of diagnosis and treatment of ureter obstruct by Simplification ureteroscope.Methods:the patients of 750 cases for ureterolith underwent ureteroscopic lithotomy and pressune orbit lithotripsy by using caudal anesthesia in outpatient the 11 cases ureterostensis were treated by watery capus expand,ureteroscopic hard expand and ureterotectomy by using of self-made electrode.Then,transurethral electro incisions of ureterocles were carried out for 2 patients.Results:Successful rate of ureteroscopic lithotomy is 98.4%;12 patient of upper ureter stone received ESWL because of stone entering the renal pelvis,and 3 cases complicated ureteral perforation;11 cases ureterostensis and 7 cases ureterocele were cured.Conclusions:It is frist chosen for ureteroscope to ureteral stone,ureteral stricture,and ureteroceles with a diameter of ≤3cm,and the method have ideal cure effect and the patients will receive.
出处
《中国内镜杂志》
CSCD
2001年第1期10-11,共2页
China Journal of Endoscopy
