输尿管镜对泌尿系疾病的诊疗价值——附762例报告

Significance of Ureteroscope in Manipulation of Urological Diseases (Report of 762 cases)

目的 :探讨输尿管镜对泌尿系统疾病的诊断与治疗价值。方法 :对 1988年 1月～ 2 0 0 1年 4月间本院采用输尿管镜诊断和治疗的 76 2例患者的临床资料进行系统性回顾分析。结果 :输尿管镜用于诊断 12 8例 ,发现输尿管疾病 10 9例 (输尿管阴性结石 36例 ,息肉 2 4例 ,肿瘤 17例 ,脓栓 6例 ,狭窄 2 6例 )。用于治疗输尿管疾病 6 34例 ,其中 ,输尿管结石 5 33例 ,输尿管狭窄 2 1例 ,医源性双J管滞留 32例 ,尿道结石 16例 ,尿道狭窄 18例 ,小儿逆行输尿管插管 14例。治疗输尿管结石成功率为 88.6 % ,其中治疗上、中、下段结石的成功率分别为 6 2 .5 %、93.9%、95 .6 % ,治疗多发性输尿管结石的成功率为 6 7.4 %。其它疾病的疗效均满意。结论

Objective: To evaluate the value of ureteroscope in the diagnosis and treatment of urological diseases. Methods: A retrospective analysis was made on clinical data of 762 cases from Jan.1988 to April 2001 in our hospital. Results: Ureteroscope was applied into diagnoses in 128 cases, ureteric diseases were found in 109 cases, including negative stones in 36 cases, polyps in 24 ,tumors in 17, pyogenic emboli in 6 and stenoses in 26. Ureteroscope was applied into treatments in 634 cases which included ureteric stones in 533 cases, ureteric stenoses in 21,ureteric double J catheter stagnation in 32, urethral stones in 16,urethral stenoses in 18 and retrograde ureteric stent installment in 14 children. The total successful rate of stone clearing was 88.6,and satisfactory results were obtained in other diseases. Conclusion: Ureteroscope has much great significance in the diagnosis and treatment of ureteropathy.