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find Keyword "输尿管镜" 16 results
  • Clinical Application of Ureteroscope in Manipulation of Urological Diseases (Report of 1333 Cases)

    目的:探讨输尿管镜技术在泌尿外科疾病诊治中的临床应用价值。方法: 2002年9月至2008年9月应用经尿道输尿管镜技术诊断和治疗泌尿系疾病患者1333例。其中行输尿管镜治疗者1200例, 包括输尿管结石1010例,其中上段结石146例、中段344例、下段520例;输尿管狭窄18例;医源性双J管滞留38例;男性尿道狭窄38例;膀胱尿道结石41例;肾盂结石8例;输尿管阴道漏5例;小儿逆行输尿管插管20例;内支架管置入22例。其中用于诊断的患者133例。结果:治疗1010例输尿管结石,成功865例,成功率为85.6%,其中治疗输尿管上、中、下段结石的成功率分别为68.5%、81.7%及93.1%;输尿管狭窄、尿道狭窄、膀胱尿道结石、输尿管阴道漏及小儿逆行输尿管插管均疗效满意。用于诊断的133例患者中,发现肿瘤4例,阴性结石48例,息肉8例,输尿管结核9例,输尿管狭窄30例,无阳性发现34例。手术失败24例。发生严重手术并发症37例,其中死亡1例,感染性休克2例,黏膜撕脱4例,穿孔15例、假道12例,严重出血3例。结论:输尿管镜技术由于其适应于泌尿系统腔道的独特特点,可应用于泌尿外科的许多疾病的诊治,尤其对输尿管下段结石可作为首选治疗措施;只要仔细操作,随着经验的积累,并发症发生率会越来越低。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • Clinical Analysis of Treating Ureteral Calculus with Ureteroscopic Pneumatic Lithotripsy by Ultraobservation

    目的:探讨B超监测下输尿管镜治疗输尿管结石的临床疗效及可行性。方法:2007年12月~2008年12月采用B超监测下输尿管镜治疗输尿管结石患者34例,结石位于上段4例,中段11例,下段19例。结果:一次性碎石治愈者33例,一次性碎石成功率97%,手术时间(40±15)min,术后2~7天排尽结石,术后住院平均时间3.5(2~5)天。结论:B超监测下输尿管镜治疗输尿管结石对于手术操作者易于随时动态观察结石情况,对于大于0.4 cm的碎石块无遗漏,增加术中一次碎石成功率,可行性高。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 双输尿管镜下尿道会师术治疗男性尿道损伤

    目的 总结双输尿管镜下尿道会师术治疗男性尿道损伤的疗效和安全性。 方法 回顾性分析2006年7月-2010年10月24例经双输尿管镜下尿道会师术治疗的男性尿道损伤患者的临床资料。观察手术时间、术后排尿通畅情况、尿流率及是否并发尿道狭窄、尿瘘、尿失禁和阴茎勃起功能障碍。 结果 球部损伤患者16例会师成功,后尿道损伤患者6例会师成功,2例失败。手术时间20~35 min,平均28 min。术后均常规尿道扩张。2例并发严重尿道狭窄,行尿道狭窄内切开术,疗效佳。随访1年时行尿流率检测,最大尿流率18~25 mL/s,平均22 mL/s。无尿瘘、尿失禁和阴茎勃起功能障碍。。 结论 双输尿管镜尿道会师术疗效确切、安全、操作简单,手术时间短,微创和并发症少。

    Release date:2016-09-08 09:13 Export PDF Favorites Scan
  • Effectiveness and Safety of Ureteroscopy Surgery in Treatment of Upper Ureteral Calculi: A Meta-Analysis

    ObjectiveTo systematically review the effectiveness and safety of transurethral ureteroscopy lithotripsy in the treatment of upper ureteral calculi. MethodsWe electronically searched The Cochrane Library (Issue 3, 2013), PubMed (1966 to 2013.8), EMbase (1990 to 2013.8), CNKI (1949 to 2013.9), CBM (1978 to 2013.9), VIP (1989 to 2013.8) and WanFang Data (1990 to 2013.8) for the randomized controlled studies (RCTs) related to retroperitoneoscopy ureterolithotomy versus transurethral ureteroscopy lithotripsy for upper ureteral calculi. Two reviewers independently screened literature, extracted data, and evaluated methodological quality of included studies. Then meta-analysis was performed using RevMan 5.2 software. ResultsA total of 16 RCTs involving 1 410 patients (transurethral ureteroscopy lithotripsy:747 cases; etroperitoneal laparoscopic ureterolithotomy:663 cases) were included. The results of meta-analysis showed that, transurethral ureteroscopy lithotripsy was lower than retroperitoneoscopy ureterolithotomy in success rates of surgery (OR=0.26, 95%CI 0.14 to 0.51), 3-day stone clearance rates (OR=0.06, 95%CI 0.03 to 0.11), and 1-month stone clearance rates (OR=0.21, 95%CI 0.08 to 0.53), while it showed superiority in operation time (MD=-22.35, 95%CI-35.29 to-9.41) and postoperative hospital stay (MD=-1.84, 95%CI-3.44 to-0.24). ConclusionCurrent evidence shows that, in the treatment of upper ureteral calculi, transurethral ureteroscopy lithotripsy causes less operation time and postoperative hospital stay, but it had no advantage in success rates of surgery, 3-day stone clearance rates, and 1-month stone clearance rates.

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  • The Nursing Experience of Preoperative Treatment for Urethral Injury with Ureteroscopic Urethral Realignment

    ObjectiveTo explore the nursing experience of preoperative treatment for urethral injury with ureteroscopic urethral realignment. MethodsThe key points of the nursing experience of preoperative treatment for 58 cases of urethral injury with ureteroscopic urethral realignment were retrospectively analyzed. The patients were treated between January 2008 and December 2012. ResultsUrethra catheterization of the 58 patients receiving the ureteroscopic urethral realignment was all successful. The catheter was extracted 4-8 weeks after the treatment, and then the urethra was dilated for two years. All patients had normal urination without any surgery complications during the 5-28-month clinical follow-up. ConclusionUrinary tract infections can be prevented effectively under professional and meticulous preoperative treatment. The incidence of urethral stricture can be reduced greatly. The quality of the patients' life can be improved a lot.

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  • 输尿管镜下气压弹道碎石治疗输尿管上段结石

    【摘要】 目的 总结输尿管镜下气压弹道碎石技术治疗输尿管上段结石的疗效。 方法 回顾性分析2004年1月-2010年2月,采用输尿管镜下气压弹道碎石技术治疗106例输尿管结石患者的临床资料。其中男68例,女38例;年龄17~72岁,平均44岁。病程3 d~6个月,平均45 d。结石直径8.0~25.0 mm,平均16.5 mm。 结果 一次性碎石成功89例(84%)。碎石过程中有52例(49%)结石移位至肾盂内,其中37例在肾上盏内予以成功碎石;15例结石停留在肾中、下盏,留置输尿管支架管后二期行体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)碎石。2例因输尿管扭曲或狭窄改行输尿管切开取石;余104例术后1~3个月KUB加IVU检查98例结石排尽,积水消失或明显减轻。 结论 通过熟练的输尿管镜碎石技术、适当的体位和灌注、合适的碎石方式、术后ESWL治疗等,输尿管镜下气压弹道碎石术是治疗输尿管上段结石的有效方法。

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  • 经电切镜外鞘输尿管镜气压弹道碎石术治疗下尿路结石

    【摘要】 目的 总结经电切镜外鞘输尿管镜气压弹道碎石术治疗下尿路结石的疗效。 方法 2009年10月-2010年4月,采用经电切镜外鞘输尿管镜直达结石部位,采用气压弹道碎石术治疗下尿路结石20例。其中男15例,女5例;年龄35~80岁,平均54岁。膀胱结石18例,后尿道(尿道膜部)结石2例,结石直径0.5~2.0 cm,均为单发。病程6 h~2年,平均15 d。 结果 20例均一次性成功碎石,碎石成功率100%。碎石时间15~45 min,平均27 min;术后住院时间2~6 d,平均3.7 d。术后无大出血、水中毒、感染等术后早期并发症。13例患者获随访,随访时间1~3个月,平均1.2个月。所有患者均未出现结石复发、尿道狭窄等并发症。 结论 经电切镜外鞘输尿管镜下气压弹道碎石术治疗下尿路结石疗效确切、微创,是一种治疗下尿路结石的安全方法。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Treatment of Renal Pelvic Calculi by Transurethral Ureteroscopic Pneumatic Lithotripsy

    目的:探讨经尿道输尿管镜腔内气压弹道碎石治疗肾盂结石的疗效。方法:回顾分析7例肾盂结石经尿道输尿管镜腔内气压弹道碎石术式治疗的临床资料。结果:5例术后复查出现大小不等上尿路残余结石,分别予经皮肾镜碎石,经尿道输尿管镜碎石,体外振波碎石治疗后复查无残余结石。结论:肾盂结石经尿道输尿管镜腔内气压弹道碎石治疗需要根据结石的大小、形态及位置严格掌握适应症。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • Cooperation in Ureteroscopic Procedures in Treatment of Pyonephrosis Caused by Ureteral Stone Obstruction

    目的 总结应用输尿管镜治疗结石梗阻性肾积脓手术配合的经验。 方法 对2003年4月-2007年12月因输尿管结石引起梗阻性肾积脓的27例患者行输尿管镜检查、气压弹道碎石、取石及留置双J管治疗的临床资料及手术配合进行回顾性分析。 结果 27例患者中,1次取净结石24例;术后2周经体外震波碎石治愈2例;改行开放手术1例,术中无明显并发症。 结论 手术护士应熟悉操作步骤,密切配合医生手术。应用输尿管镜治疗结石梗阻性肾积脓具有疗效好、创伤小、安全可靠等优点。

    Release date:2016-09-08 09:49 Export PDF Favorites Scan
  • 医护合作-快速康复模式在经输尿管镜钬激光碎石术中的应用及效果评价

    目的 探讨医护合作-快速康复模式在经输尿管镜钬激光碎石手术中的临床应用及效果的评价。 方法 将 2015 年 10 月—2016 年 3 月入住的 166 例输尿管结石患者随机分为对照组和试验组各 83 例,对照组按传统方法进行住院治疗及围手术期护理,试验组按照医护合作-快速康复模式进行诊治及护理,包括门诊评估、术前检查的完善、麻醉评估、流程办理、家庭护理的注意事项、围手术期的饮食活动指导和疼痛管理、健康保健等。比较两组患者的住院时间、住院费用、术后并发症、术后首次进食时间和满意度的差异。 结果 试验组患者住院时间[(22.46±0.89)h]少于对照组[(76.46±0.75)h],住院费用[(8 275.21±789.45)元]低于对照组[(12 859.11±1 047.54)元],并发症发生率[10.8%(9/83)]低于对照组[41.0%(34/83)],患者满意度[(99.87±5.12)%]高于对照组[90.66±5.95)%],差异均有统计学意义(P<0.05)。 结论 医护合作-快速康复模式应用于输尿管镜钬激光碎石手术,能充分利用医疗资源,促进医患关系协调,缩短患者的住院日,减少患者的住院费用,降低术后并发症的发生,促进术后康复,早日恢复患者的正常生活。

    Release date:2017-12-25 06:02 Export PDF Favorites Scan
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