输尿管镜术治疗输尿管狭窄并结石

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1、输尿管镜术治疗输尿管狭窄并结石【摘要】目的：探讨经尿道输尿管镜镜体扩张术治疗输尿管狭窄并结石的疗效。方法：回顾性分析2010年1月至2013年08月69例输尿管狭窄并结石患者临床资料，手术均采用WolfF8/9.8半硬性输尿管镜，行输尿管镜下镜体狭窄扩张或置双J管引流2周后再行输尿管镜治疗，并分析疗效及并发症，结果：57例经镜体狭窄扩张腔内处理后成功碎石,10例行二期输尿管镜碎石治疗，1例直接开放手术，1例二期输尿管镜上镜失败。术中无输尿管穿孔、断裂、大出血，出院前复查I期结石完全清除率84%(58/69),I期、II期术后拔除双J管前结石清除率98%(68/69),拔管后1个月结石清除率10

2、0%(69/69)0结论：输尿管镜镜体扩张术是治疗输尿管狭窄并结石的有效方法，可以提高疗效、减少并发症。【关键词】输尿管结石输尿管狭窄输尿管镜碎石TreatmentofUreteralStrictureCombinedCalculiwithUreteroscopyYANGPingl,CHENXueLian2(1DepartmentofUrologySuiningCentralHospital,SuiNing629000,SiChuang,China,2Firs,sHospitalofSuiNing629000,SiChuang,China,)[Abstract]Objective：Tostud

3、ytheeffectoftransurethralureteroscopylensbodydilatationsurgeryforthetreatmentofureteralstricturecombinedcalculi.Methods:Wemadearetrospectiveanalysisof69patients，clinicaldatafromJanuary2010toAugust2010,allsurgeryadoptedWolfF8/9.8halfrigidureteroscopy,patientsunderwenttransurethralureteroscopylensbody

4、dilatationsurgeryorafterseteddoubleJtubedrainage2weekagainunderwentureteroscopytreatment,atlastweanalyzethecurativeeffectandcomplications.Results:57casesweresuccessfulclearedgravelwithlensbodydilatationsurgeryfortreatmentofureteralstricture,10casesunderwentureteroscopylithotripsytreatmentonsecondpha

5、se,1caseunderwentdirectlyopensurgery,1casewasfailurewithureteroscopytreatmentonsecondphase.Therewasnoureteralperforation,ruptureandbleeding,fullydischargedbeforeWereviewedthestageIcalculiclearaneeratewas84%(58/69),phaseTandphaseTTpostoperativeurethralcalculiclearanceratewas98%(68/69)beforedoubleJtub

6、eextraction,1monthsafterdoubleJtubeextractionthecalculiclearanceratewas100%(69/69)・Conclusions：Ureteroscopylensbodydilatationsurgeryisaneffectivemethodfortreatmentofureteralstricturecombinedcalculi,itcanimprovethecurativeeffectandreducecomplications・【中图分类号】R693・4【文献标识码】A【文章编号】1672-3783(2014)01-0324-

7、01输尿管镜碎石术治疗输尿管结石已成为首选的治疗方式，因其具有手术损伤小、痛苦少、恢复快、效果好、并发症少等优点，已得到临床广泛应用[1],对结石合并远端输尿管狭窄同样可通过腔内技术有效取石[2]o对手术操作造成一定困难，易出现碎石失败、输尿管损伤等并发症[3],2010年1月2013年08月，我院诊断69例输尿管狭窄并结石患者，分别接受输尿管镜下镜体狭窄扩张、置双J管引流1周后再行输尿管镜碎石等