输尿管镜技术289例的临床应用体会

Ureteroscope technology of the 289 cases of clinical experience

目的:探讨输尿管镜技术在泌尿外科疾病诊治中的临床应用价值。方法:2005年1月～2008年12月,应用输尿管镜技术诊治泌尿外科疾病共289例。用于治疗271例,其中用于输尿管上段结石5例、中段38例、下段186例、膀胱结石31例、尿道结石7例,医源性双尾管滞留4例。用于诊断l8例。结果:膀胱、尿道结石成功率100%(38/38),输尿管结石下段为93.54%(174/186),中段为89.47%(34/38),上段为40.00%(2/5)。用于诊断的l8例患者中,发现肿瘤2例,息肉6例,阴性结石4例同时进行治疗,无阳性发现3例,输尿管狭窄3例(同时进行治疗)。手术失败9例。并发症7例,发生率2.42%(7/289),假道4例,穿孔2例,黏膜撕脱1例。结论:输尿管镜技术在泌尿外科疾病的诊断、治疗中起着很重要的作用,输尿管镜技术成功率高,并发率低,特别是对膀胱、尿道、输尿管下段结石可作为首选治疗方法。

Objective： To investigate the ureteroscope technology in the diagnosis and treatment of urological diseases in clinical application. Methods： Ways from January 2005 to December 2008, the application of technology diagnosis and treatment of urological diseases Ureteroscope total of 289 cases. For the treatment of 271 cases, of which upper ureteral calculi 5 cases, 38 cases of the middle section, under paragraph 186 cases, 31 cases of bladder stones, urethral stones seven cases, iatrogenic double stranded four cases of tail pipe. Example for the diagnosis of 18. Results： The results of the bladder, ure thra stone success rate was 100% （38/38）, 93.54% for the lower segment （174/186）, the middle section for the 89.47%（34/38）, 40.00 percent for the previous paragraph（2/5）. For the diagnosis of 18 patients, found two cases of tumor, 6 cases of polyps, four cases of negative calculi were treated at the same time, no positive findings in three eases, three cases of ureteral stricture （treated simultaneously）. 9 cases of surgical failure, 7 cases of complications, the incidence was 2.42% （7/289）, via four cases, two cases of perforation, mucosal avnlsion example 1. Conclusion： Ureteroscopic Technology in urological diseases, diagnosis, treatment, plays a very important role, Ureteroscope high technical success rate, complication rate is low, especially for the bladder, urethra, lower ureteral stones can be used as the preferred method of treatment.