自制输尿管镜针状电刀治疗输尿管狭窄

Management of ureteral stricture with a self-made needle-shaped ureteroscopic electrotome

目的探讨自制输尿管镜针状电刀在治疗输尿管狭窄中的应用价值. 方法对输尿管切开取石术后狭窄24例,息肉39例,输尿管先天性狭窄4例采用自制输尿管镜针状电刀在输尿管镜下行切开术. 结果手术时间10～30 min,术中出血量5～20 ml.随访3个月,53例(79.1%)有效,10例(14.9%)好转,4例(6.0%)无效,无严重并发症发生. 结论自制输尿管镜针状电刀治疗输尿管狭窄操作容易.

Objective To study the clinical application of a self-made needle-shaped ureteroscopic electrotome in the treatment of ureteral stricture. Methods Sixty-seven patients with ureteral stricture (24 cases of stricture after ureterlithotomy, 39 cases of ureteral polyp and 4 cases of congenital stricture) were operated on by using self-made needle-shaped electrotome under ureteroscope. Results The operating time was 10~30 min and the intraoperative blood loss was 5~20 ml. Follow-up for 3 months showed effective results in 53 cases (79 1%), improved in 10 cases (14 9%) and unresponsive in 4 (6 0%). No severe complications emerged. Conclusions Application of self-made needle-shaped ureteroscopic electrotome in the management of ureteral stricture gives simple performance.