[1]肖克兵,尹传民,那永刚.筋膜扩张器在输尿管镜治疗输尿管下段结石中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(01):42-45.[doi:10.3877/cma.j.issn.1674-3253.2017.01.010 ]
　Xiao Kebing,Yin Chuanmin,Na Yonggang..Clinical application of fascia dilator in ureteroscope for treatmengt of lower ureteral stones when undergo ureteroscopy[J].,2017,11(01):42-45.[doi:10.3877/cma.j.issn.1674-3253.2017.01.010 ]
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筋膜扩张器在输尿管镜治疗输尿管下段结石中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年01期
页码:
42-45
栏目:
临床研究
出版日期:
2017-03-06

文章信息/Info

Title:
Clinical application of fascia dilator in ureteroscope for treatmengt of lower ureteral stones when undergo ureteroscopy
作者:
肖克兵; 尹传民; 那永刚
710077 西安医学院第一附属医院泌尿外科
Author(s):
Xiao Kebing;  Yin Chuanmin;  Na Yonggang.
Department of Urology, the First Affiliated Hospital of Xi'an Medical University, Xi'an 710077, China
关键词:
输尿管结石;  输尿管镜;  筋膜扩张器
DOI:
10.3877/cma.j.issn.1674-3253.2017.01.010
摘要:
目的 探讨肾筋膜扩张器在经尿道输尿管镜手术中的应用价值。方法 回顾性分析西安医学院第一附属医院泌尿外科自2014年1月至2015年12月收治的50例输尿管下段结石患者，在斑马导丝引导下输尿管镜直视下以8 F筋膜扩张器扩张输尿管壁间段，扩张后行输尿管镜下气压弹道碎石术。结果 50例结石均一期碎石成功，手术时间（40±9） min。其中男性22例，8例筋膜扩张器扩张输尿管壁间段失败，成功率14/22（63.6%）。女性28例，成功率28/28（100%）。术中未发生输尿管穿孔、假道，输尿管黏膜剥脱、断裂等并发症。术后4例女性、1例男性患者出现发热，予敏感抗生素抗感染治疗后痊愈。术后导尿管留置时间（1.6±0.7） d，双J管留置时间（11±4） d。随访半年未见输尿管狭窄及肾积水加重。结论 经尿道输尿管镜手术中使用肾筋膜扩张器扩张输尿管壁间段有利于输尿管镜进入，减少输尿管术中损伤，女性成功率高，尤其适合于女性患者。

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备注/Memo:
通讯作者：尹传民，Email：86681148@qq.com
更新日期/Last Update: 2017-02-20