输尿管镜诊治输尿管疾病222例体会

Diagnosis and Treatment for Ureteropathy by Ureteroscope(A Report of 222 Cases)

目的 探讨输尿管镜诊治输尿管疾病的效果。 方法 对 2 2 2例输尿管疾病患者 ,应用输尿管镜联合气压弹道碎石治疗输尿管结石 176例 ,取输尿管异物 3例 ,诊治输尿管梗阻 4 3例。 结果 176例 (187侧 )结石患者中 170例 (181侧 )治疗成功 ,成功率 96 .8% ;3例输尿管异物均顺利取出 ;4 3例输尿管梗阻患者中 ,39例为输尿管结石 ,均成功治疗 ,2例为输尿管狭窄予扩张治疗 ,2例为输尿管息肉予电灼治疗。 结论 输尿管镜术诊治输尿管疾病 ,疗效确切 ,患者痛苦少 ,术后恢复快 ,是诊疗效果较为确切的泌尿外科微创技术。

Objective To investigate the therapeutic effect of ureteroscope for ureteropathy. Method 176 cases of ureteral calculus were treated with ureteroscope associated with pneumatic lithotripsy. Entraction of foreign body in ureter by ureteroscope in 3 cases, diagnosis and treatment of ureteral obstruction by ureteroscope in 43 cases. Results 170 cases (181 laterals) were successfully treated in 176 cases (187 laterals) of ureteral calculi (success rate 96.8%). The foreign body were extracted successfully in 3 cases. 39 cases were diagnosed as ureteral calculi in 43 cases of ureteral obstruction and treated sucessfully, dilation was applied on 2 cases of ureteral stricture. 2 cases of ureteral polyp were resected by ureteroscope. Conclusion Ureteroscopy demonstrate the advantage of definite effect, less pain, rapid recovery and can be considered as a recommeded minimal invasion technique.