电子输尿管软镜在输尿管移位到肾脏结石手术中的应用分析

目的 探讨电子输尿管软镜在输尿管移位到肾脏结石手术中的作用。方法 选择2014年12月至2017年7月马鞍山市人民医院采取电子输尿管软镜处理输尿管硬镜手术移位到肾脏结石20例手术资料进行回顾性分析。6例同期处理,14例因输尿管存在狭窄扭曲行二期手术。所有病人术中均留置输尿管软镜导入鞘。结石采用钬激光碎石治疗。结果 全部20例手术均顺利完成。一次性碎石成功率为90%。手术时间 41~150 min,平均手术时间90 min。住院时间 8~14 d,平均住院时间11.5 d。所有手术病例均无严重输尿管损伤,无严重感染情况。结论 电子输尿管软镜处理输尿管上移到肾脏结石是安全有效的,值得临床推广。

Application of electronicflexible ureteroscopy in the surgery of ureteral calculi translocation to kidney

Objective To evaluate the clinical value of electronic flexible ureteroscopy in the surgery of ureteral calculi translocation to kidney.Methods The data of 20 patients,who underwent electronic flexible ureteroscopic surgery of ureteral calculi translocation due to electronic rigid ureteroscopy in Ma''anshan People''s Hospital from December 2014 to July 2017,were retrospectively analyzed.Electronic flexible ureteroscopy was performed simultaneously with electronic rigid one on 6 cases,while second surgery was performed on 14 others due to ureteral stenosis and distortion.Ureteric access sheath was applied and retained in each surgery.Holmium laser was used to treat the calculi.Results All of the 20 surgeries went well.The success rate of a single procedure was 90%.The operation time ranged within 41 to 150 min,and the mean time was 90 min.Hospital stay was 8 to 14 d and the mean time was 11.5 d.No serious ureter perforation or infection was found.Conclusion Electronic flexible ureteroscopy is safe and effective in treating translocated ureteral calculi,which is worthy of clinical promotion.