输尿管镜手术治疗输尿管狭窄疗效观察

The treatment of ureteral stricture with ureteroscopy

目的 :探讨输尿管镜手术治疗输尿管狭窄的方法及疗效。方法 :对 32例 33处输尿管狭窄患者分别采用输尿管镜硬性扩张、输尿管镜气囊扩张及输尿管镜冷刀内切开等方法进行治疗。结果 :32例均获成功 ,无严重手术并发症发生。随访 2 6例 (81.2 % ) ,有效 2 0例 ,好转 3例 ,无效 3例。结论 :输尿管镜手术是治疗良性输尿管狭窄的有效方法 ,治疗效果良好 ,并发症少 ,手术创伤小。

Purpose:To explore the methods of treatment for ureteral strictures with ureteroscopy.Methods:32 cases with urteral stricture were treated with rigid ureteroscopy dilation, balloon dilation and stricture incision by cold knife via ureteroscopy.Results: All patients underwent the treating procedure successfully.26( 81.2 %) of them were followed up 3 months to 6 years. 20 cases ( 76.9 %) were cured and 2 cases ( 11.5 %) improved. 3 cases ( 11.5 %) failed of the treatment.Conclusions: Ureteroscopy technique is effective and minimally invasive treatment for benign ureteral strictures.