[1]王喻,朱宝益,阮星星,等.输尿管镜碎石术中测压评估上尿路梗阻程度的初步应用[J].中华腔镜泌尿外科杂志(电子版),2011,(04):318-321.
　WANG Yu,ZHU Bao-yi,RUAN Xing-xing,et al.Initial experience of applicating an easy method to monitor the intraluminal pressure of the ureter during ureterscopic lithotripsy[J].,2011,(04):318-321.
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输尿管镜碎石术中测压评估上尿路梗阻程度的初步应用()
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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:
期数:
2011年04期
页码:
318-321
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Initial experience of applicating an easy method to monitor the intraluminal pressure of the ureter during ureterscopic lithotripsy
作者:
王喻; 朱宝益; 阮星星; 叶春伟; 黄文涛; 刘小彭; 陈晓东; 高新; 温星桥
中山大学附属第三医院泌尿外科,广州,510630
Author(s):
WANG Yu; ZHU Bao-yi; RUAN Xing-xing; YE Chun-wei; HUANG Wen-tao; LIU Xiao-peng; CHEN Xiao-dong; GAO Xin; WEN Xing-qiao
关键词:
输尿管结石; 上尿路梗阻; 输尿管腔内压力; 输尿管镜碎石术
摘要:
目的 介绍一种输尿管镜碎石术中测量输尿管腔内压的方法,并评价其临床应用价值.方法 以44例输尿管上段结石患者为研究组,其中急性梗阻21例,慢性梗阻23例;以22例无结石梗阻但需行输尿管镜检的患者为对照组.碎石术中置输尿管镜于结石上方输尿管段,关闭灌注液,镜尾部连接延长管至压力换能器,结石上方输尿管腔内的液体压力即可转换为数字压力值.对压力值与梗阻时间、结石上方输尿管长径、肾盂积水深度、血肌酐浓度、每微升尿白细胞数等作相关分析.结果 急性、慢性梗阻亚组及对照组输尿管腔内压分别为74.5 mmHg(22～180)、32.5 mmHg(9～53)、10.2 mmHg(8～13)(1 mmHg=0.133 kPa).研究组输尿管压力值与梗阻时间(r=0.985)、结石上方输尿管径(r=0.878)、肾盂积水深度(r=0.862)有明显相关关系,与血肌酐(r=0.214)、尿白细胞数(r=0.047)无明显相关关系.慢性梗阻亚组的输尿管压力值与患侧肾小球滤过率有明显的相关性(r=0.975).结论 本法简便无创伤性,可实时、量化测定输尿管腔内压力,对评估输尿管结石造成的上尿路梗阻程度有一定的应用价值.

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更新日期/Last Update: 1900-01-01