摘要
目的初步探讨输尿管扭曲时的输尿管镜进境策略。方法回顾分析输尿管镜手术中发现输尿管扭曲较明显的19例病例,分别采用调整体位、强化支架、调节灌注压力及保留输尿管导管1周后再次手术等方法。结果15例一次进镜成功,2例留置导管1周后进镜成功,2例术中中转开放手术。结论改进手术技巧可能提高输尿管扭曲时的进镜成功率,同时应正确把握中转开放手术的最佳时机。
【Objective】To evaluate the technique of ureteroscopy for ureter distortion. 【Methods】19 cases of ureteroscopy for ureter distortion were analysed. Changing position, accommodating the perfusion pressure, or secondary ureteroscopy after 1 week of placing ureteral catheter were performed respectively. 【Results】15 cases underwent ureteroscopy successfully at the first time, 2 cases underwent the procedure after 1 week of placing ureteral catheter successfully, 2 cases were transferred to open procedure. 【Concl...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第10期1087-1088,共2页
China Journal of Endoscopy
关键词
输尿管扭曲
输尿管镜术
进镜方式
ureter distortion
ureteroscopy
ureteroscopy technique