摘要
的 探讨经尿道腔镜下气囊扩张治疗输尿管狭窄的效果。 方法 采用经尿道腔镜下气囊扩张术治疗输尿管狭窄 42例。男 2 2例 ,女 2 0例 ,平均年龄 46岁。狭窄处位于肾盂输尿管连接处 5例 ;输尿管上段 8例 ,中段 5例 ,下段 2 4例。狭窄段长度 0 .5～ 2 .0cm。 结果 3 9例顺利通过输尿管球囊扩张导管 ;3例严重狭窄者失败。随访 6～ 2 4个月 ,平均 14个月。一次扩张成功 3 7例 ,B超示肾盂积水均明显减轻 ,IVU示狭窄段通畅 ;2例术后取支架后狭窄复发 ,肾盂积水无改善。术后无明显肉眼血尿、发热 ,无输尿管穿孔、脱套、撕裂等并发症。 结论 经尿道腔镜下气囊扩张治疗输尿管狭窄具有定位准确 ,扩张效果好 ,可重复操作 ,住院期短 。
ObjectiveTo assess the effect of balloon o f ureter through ureteroscopy for management of ureter stenosis.Met hods42 cases ureter stenosis underwent balloon dilation of ureter,2 2 being male,20 being female.The average age was 46 years.There was 5 ureteropel vic junction stenosis,8 upper ureter stenosis,5 middle part stenosis,24 lower pa rt stenosis.The length of stenosis was from 0.5 cm to 2.0 cm.Result sThe balloon dilating catheter was passed over the ureter stenosis area and was put in proper position in 39 cases.3 cases were failed(7.2%). 37 ca ses successfully underwent balloon dilation of the ureter on one session.All pat ients were followed up for 6 to 24 months(mean 14 months).The degree of hydronep hrosis decreased with no recurrence in 37 cases(88.1%).2 casese failed to gain the effect after the double-J stent was removed(4.7%). There are no serious co mplication found in all patients.ConclusionsBalloon di lation of ureter offers many advantages,such as:good result,repeatable and reduc ing the cost and hospital stay.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第12期818-820,共3页
Chinese Journal of Urology
