[1]郑卓敏 钟喜廷 庄泽平 黄芸珊 陈燕东.双输尿管镜联合肾穿刺针治疗成年男性尿道闭锁[J].中华腔镜泌尿外科杂志(电子版),2014,(01):54-56.
 Zheng Zhuomin,Zhong Xiting,Zhuang Zeping,et al.The clinical effect of the operation with double ureteroscopes and renal puncture needle for atresia of urethra[J].,2014,(01):54-56.
点击复制

双输尿管镜联合肾穿刺针治疗成年男性尿道闭锁()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2014年01期
页码:
54-56
栏目:
临床研究
出版日期:
2014-02-25

文章信息/Info

Title:
The clinical effect of the operation with double ureteroscopes and renal puncture needle for atresia of urethra
作者:
郑卓敏 钟喜廷 庄泽平 黄芸珊 陈燕东
515300 广东省普宁市华侨医院泌尿外科
Author(s):
Zheng Zhuomin Zhong Xiting Zhuang Zeping Huang Yunshan Chen Yandong.
Department of Urology, the Oversea Chinese Hospital, Puning 515300, China
关键词:
尿道闭锁输尿管镜肾穿刺针
摘要:
目的 探讨双输尿管镜联合肾穿刺针治疗成年男性尿道闭锁的临床疗效。方法 11例成年男性后尿道闭锁采用双输尿管镜联合肾穿刺针治疗。患者尿道闭锁段均位于尿道膜部和/或球部,闭锁长度 0.5~1.5 cm,中位数 1.1 cm,无骨片压迫尿道。手术关键点为从尿道及膀胱造瘘口各置入输尿管镜观察闭锁段远近端,在双输尿管镜监视下,用肾穿刺针从闭锁段远端穿刺至闭锁段近端以确定正道,而后用尿扩及电切修整尿道。观察手术的疗效。结果 11例全部手术成功,术后仅有少量尿道出血,留置尿管压迫后均止血。拔除尿管后均排尿顺畅,4例一度尿线变细,门诊尿道扩张后排尿通畅。术后无尿道热等近期并发症及尿失禁等远期并发症。结论 双输尿管镜联合肾穿刺针治疗成年男性尿道闭锁成功率高,疗效好,并发症少。

参考文献/References:

[1]崔志刚 ,赵永体 ,郑保良 .镜镜联合治疗后尿道闭锁[J].中国实用医刊, 2010, 37(8): 79.
[2]杨宝龙 ,鹿尔驯 ,关维民 ,等.3种经尿道腔内技术治疗尿道狭窄或尿道闭锁的疗效观察 [J].中国内镜杂志 , 2010, 16(7): 689-691.
[3]董焱鑫 ,钱云程 ,杨军昌 ,等.X线引导下等离子电极腔内成形术治疗尿道闭锁[J].中华男科学杂志, 2009, 15(7): 636-638.
[4]冯永琦,甘为民 ,张永刚 ,等.后尿道闭锁经尿道内切开术治疗的探索(附 12例分析) [J].吉林医学, 2010, 31(21): 3462-3464.
[5]梁朝朝 ,王克孝 .经尿道手术治疗尿道狭窄与闭锁 (附 364报告)[J].中华泌尿外科杂志, 2003, 24(8): 561-563.
[6]焦治兴,倪少滨 ,杨秀华 ,等.经直肠超声引导腔内会师治疗外伤性后尿道闭锁 (附 5例报告 )[J].临床泌尿外科杂志, 2011, 26 (3): 221-223.
[7] Steenkamp JW, Heyns CF, de Kock ML. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective, randomized comparison[J]. J Urol. 1997, 157(1): 98-101.
[8]周四维,徐鸿毅,申吉泓.泌尿系创伤,见:吴阶平,主编.吴阶平泌尿外科学(上册) [M].济南 :山东科学技术出版社, 2004: 849-858.
[9]雷鸣 ,曾国华 ,袁坚 .腔内会师技术治疗尿道闭锁 11例报告 [J/ CD].中华腔镜泌尿外科杂志:电子版, 2009, 3(5): 42-44.

相似文献/References:

[1]周祥福,温晓飞,陈兴屹,等.应用输尿管镜通过经皮肾微造瘘治疗输尿管上段结石114例报告[J].中华腔镜泌尿外科杂志(电子版),2007,(01):30.
 ZHOU Xiang-fu,WEN Xiao-fei,CHEN Xing-yi,et al.Effect and safety of mini-percutaneous nephrostomy by ureteroscopy in treatment of upper ureteral stones: 114 cases report[J].,2007,(01):30.
[2]刘修恒,程帆,钱辉军,等.输尿管镜技术与并发症的防治(附2 280例报告)[J].中华腔镜泌尿外科杂志(电子版),2007,(02):87.
 LIU Xiu-hen,CHENG Fan,QIAN Hui-jun,et al.Ureteroscopic technique and the treatment and prevention of its complications (Report of 2280 cases)[J].,2007,(01):87.
[3]邱剑光,袁晓旭,司徒杰,等.输尿管镜术输尿管口假道发生的机制与处理[J].中华腔镜泌尿外科杂志(电子版),2008,(02):110.
 QIU Jian-guang,YUAN Xiao-xu,SI TU-Jie,et al.Formation,classification and management of intromural false passage of ureter orifice during ureteroscopic procedures[J].,2008,(01):110.
[4]王书龙,王劭亮,徐友明,等.输尿管硬镜钬激光治疗输尿管息肉的临床分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):124.
 WANG Shu-long,WANG Shao-liang,XU You-ming,et al.Clinical analysis of ureteroscopic holmium laser for managing ureteral polyps[J].,2008,(01):124.
[5]黄永新,黎志辉.输尿管硬镜气压弹道碎石治疗输尿管结石疗效分析[J].中华腔镜泌尿外科杂志(电子版),2008,(02):143.
 HUANG Yong-xin,LI Zhi-hui.Pneumatic lithotripsy via rigid uerteroscopy for the treatment of ureteric stone:Report of 185 cases[J].,2008,(01):143.
[6]李丁有,湛海伦,司徒杰,等.输尿管镜下钬激光治疗输尿管嵌顿性结石[J].中华腔镜泌尿外科杂志(电子版),2008,(03):24.
 LI Ding-you,ZHAN Hai-lun,SITU Jie,et al.Treatment of ureteral impacted calculus with holmium laser lithottipsy via ureteroscope[J].,2008,(01):24.
[7]汪溢,蔡鑫,朱家利.经皮肾穿刺气压弹道碎石治疗肾结石58例[J].中华腔镜泌尿外科杂志(电子版),2008,(03):31.
 WANG Yi,CAI Xin,ZHU Jia-li.Percutaneous ureteroscope lithotripsy with pneumatic power (reports of 58 cases)[J].,2008,(01):31.
[8]黄旭光,潘晓明,李发根.结石拦截网在输尿管镜气压弹道碎石术中的应用[J].中华腔镜泌尿外科杂志(电子版),2008,(03):34.
 HUANG Xu-guang,PAN Xiao-ming,LI Fa-geng.The application of calculus interception net in the ureteroscopic pneumatic lithotripsy[J].,2008,(01):34.
[9]宋方闻,钟惟德.输尿管镜气压弹道碎石术治疗输尿管结石[J].中华腔镜泌尿外科杂志(电子版),2008,(04):37.
 SONG Fang-wen,ZHONG Wei-de.Clinical research of ureteral calculi treated with pneumatic lithotripsy through transurethral rigid ureteroscope[J].,2008,(01):37.
[10]孙路,彭芳丽,陈厦辉,等.旁置输尿管导管持续顺行灌流输尿管镜钬激光碎石术——技术改良与临床观察[J].中华腔镜泌尿外科杂志(电子版),2009,(02):7.
 SUN Lu,PENG Fang-li,CHEN Xia-hui,et al.Paracalculous ureteral catheter continuous antegrade perfusion ureteroscopic lithotripsy: technological im improvement and clinical observation[J].,2009,(01):7.

备注/Memo

备注/Memo:
通讯作者:郑卓敏,Email:zzm8118@126.com
更新日期/Last Update: 2014-02-25