[1]唐炎权,周均洪,廖芝健,等.硬性输尿管镜鞘配合输尿管镜技术治疗嵌顿性肾盂输尿管移行处结石[J].中华腔镜泌尿外科杂志(电子版),2012,(06):442-445.
　TANG Yan-quan,ZHOU Jun-hong,LIAO Zhi-jian,et al.Management of incarcerated ureteropelvic junction calculi using ureteroscope via rigid ureteral access sheath[J].,2012,(06):442-445.
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硬性输尿管镜鞘配合输尿管镜技术治疗嵌顿性肾盂输尿管移行处结石()
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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:
2012年06期
页码:
442-445
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Management of incarcerated ureteropelvic junction calculi using ureteroscope via rigid ureteral access sheath
作者:
唐炎权; 周均洪; 廖芝健; 尹伟强; 郝玉千; 卢运田
广东省江门市五邑中医院泌尿外科,529000
Author(s):
TANG Yan-quan; ZHOU Jun-hong; LIAO Zhi-jian; YIN Wei-qiang; HAO Yu-qian; LU Yun-tian
关键词:
输尿管镜鞘; 输尿管镜; 软性输尿管肾镜; 结石
摘要:
目的 探讨硬性输尿管镜鞘配合输尿管镜技术治疗嵌顿性肾盂输尿管移行处结石的有效性及安全性.方法 回顾2009 年10 月至2012 年1 月我院采用硬性输尿管镜鞘配合输尿管硬镜技术治疗的31 例嵌顿性肾盂输尿管移行处结石患者临床资料,分析其手术时间、住院时间、手术效果及并发症情况.结果 23 例一期手术取石成功,其中5 例需要同时应用软性输尿管肾镜;8 例一期手术中未能置入硬性输尿管镜鞘,其中4 例一期手术中中转经皮肾镜取石术,另外4 例术中留置双J 管,两周后再次手术.两周后再次手术的4 例中,3 例二期手术取石成功,另外1 例因仍未能置入硬性输尿管镜鞘而中转经皮肾镜取石术治疗.手术总成功率83.9%(26/31),手术时间23～47 min,平均29依11 min,术后住院1～5 d,平均2.6依1.7 d.术后复查KUB 或超声,残石直径均约3 mm.1 例术后发热,无输尿管离断、撕脱、肾盂撕裂等严重术中并发症.术后3 个月随访未发现输尿管返流.结论 硬性输尿管镜鞘配合输尿管镜技术治疗嵌顿性肾盂输尿管移行处结石疗效确定、安全性好、并发症少.

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更新日期/Last Update: 1900-01-01