经尿道输尿管镜术及其辅助器械的应用与改进(附352例报告)

Application and Lnprovement of Transurethral Ureterscopy and Its Supplementary Instrument (Report of 352 Cases)

目的:总结经尿道输尿管镜术及其辅助器械应用与改进的经验。方法:回顾性分析352例经尿道输尿管镜术的临床资料。结果:手术一次性成功率95.4％(336/352),并发症发生率7.4％(26/352),其中输尿管穿孔12例,输尿管撕裂伤3例,粘膜下假道6例,泌尿系感染5例。结论:器械的改进和技术的熟练,有助于提高疗效,减少手术并发症,延长器械使用寿命。

Objective: To summarize our experience in application and improvement of transurethral ureterscopy and its supplementary instrument.Methods:352 cases of transurethral ureterscopy were reviewed. Results:The success rate of the one stage for all patients was 95.4% ,the incidence of complications was 7.4%(26/352),including ureter perforation (12 cases),lacerated wound (3 cases) , submucous false channel(6 cases) and urosepsis (5 cases). Conclusion: With the improvement of instrument and proficiency of skills, therapeutic efficacy increased with few complication. The servicelife of instrument were extended.