张家俊, 李庆文, 韩锋, 陈志军, 李建, 刘贝贝. 输尿管镜气压弹道碎石术失败常见原因分析及对策[J]. 蚌埠医学院学报, 2012, 36(3): 259-261.
    引用本文: 张家俊, 李庆文, 韩锋, 陈志军, 李建, 刘贝贝. 输尿管镜气压弹道碎石术失败常见原因分析及对策[J]. 蚌埠医学院学报, 2012, 36(3): 259-261.
    ZHANG Jia-jun, LI Qing-wen, HAN Feng, CHEN Zhi-jun, LI Jian, LIU Bei-bei. The failure causes and countermeasures of ureteroscope pneumatic lithotripsy[J]. Journal of Bengbu Medical College, 2012, 36(3): 259-261.
    Citation: ZHANG Jia-jun, LI Qing-wen, HAN Feng, CHEN Zhi-jun, LI Jian, LIU Bei-bei. The failure causes and countermeasures of ureteroscope pneumatic lithotripsy[J]. Journal of Bengbu Medical College, 2012, 36(3): 259-261.

    输尿管镜气压弹道碎石术失败常见原因分析及对策

    The failure causes and countermeasures of ureteroscope pneumatic lithotripsy

    • 摘要: 目的:探讨输尿管镜气压弹道碎石术治疗输尿管结石失败的常见原因和处理方法。方法:对12例应用输尿管镜气压弹道碎石术治疗输尿管结石失败的原因进行分析。结果:输尿管镜难以通过扭曲狭窄的输尿管5例,结石被炎性息肉包裹导致无法窥见1例,均行开放手术;输尿管镜进镜或碎石时结石上移,进入肾盂或肾盏6例,其中上段结石3例,中段结石3例,结石上移输尿管镜下无法找到,术中放置双J管,术后配合体外冲击波碎石术碎石。结论:结石移位、输尿管走行迂曲或狭窄、输尿管穿孔、息肉包裹等是手术失败的主要原因。提高手术技巧、谨慎细致操作可减少手术失败的发生。

       

      Abstract: Objective:To explore the failure causes and countermeasures of ureteroscope pneumatic lithotripsy(URSL).Methods:The failure causes of 12 cases with ureteral calculi treated with URSL were analyzed retrospectively.Results:5 cases with tortuous and narrow ureter and 1 case with ureteral polypus were open surgery.There were 6 cases with stone going up to pelvis or kidney in operation process,and 3 cases with upper stone and 3 cases with middle stone.Six cases with stone going up were treated with placing double J tube and extracorporeal shock-wave lithotripsy.Conclusions:Stone migrations,tortuous or narrow ureters,ureteral perforation and polypus wrapping are the main failure causes of URSL.To raise operating technique andcareful handling can reduce failure.

       

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