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输尿管镜下气压弹道碎石术并发症分析
引用本文:舒向晖,龚百生,邹建华,邱明星,黄翔. 输尿管镜下气压弹道碎石术并发症分析[J]. 现代泌尿外科杂志, 2009, 14(1): 47-49
作者姓名:舒向晖  龚百生  邹建华  邱明星  黄翔
作者单位:1. 遵义医学院,贵州遵义,563003
2. 四川I省人民医院泌尿外科,四川成都,610072
摘    要:
目的探讨输尿管镜下气压弹道碎石术并发症产生的原因和防治措施。方法对600例输尿管镜下气压弹道碎石术发生的并发症进行回顾性分析。结果600例手术共发生并发症162例:输尿管穿孔12例(2%);输尿管口撕裂假道形成8例(1.3%);术后输尿管狭窄行肾切除1例(0.17%);结石返回肾脏24例(4%);肉眼血尿21例(3.5%);术后尿路感染15例(2.5%);肾绞痛16例(2.7%);结石残留41例(6.8%);置镜失败18例(3%)。结论熟练输尿管镜操作技术是减少其并发症的关键,严格掌握适应证可预防严重并发症发生。

关 键 词:输尿管镜  气压弹道碎石术  并发症

Clinical analysis of common complications in ureteroscopic pneumatic lithotriypsy
SHU Xiang-hui,GONG Bai-sheng,ZOU Jian-hua,QIU Ming-xing,HUANG Xiang. Clinical analysis of common complications in ureteroscopic pneumatic lithotriypsy[J]. Journal of MOdern Urology, 2009, 14(1): 47-49
Authors:SHU Xiang-hui  GONG Bai-sheng  ZOU Jian-hua  QIU Ming-xing  HUANG Xiang
Affiliation:1. Zunyi Medical College;Zunyi 563003;2. Department of Urology;Sichuan Provincial People's Hospital;Chengdu 610072;China
Abstract:
Objective To explore the causes of complications in ureteroscopic pneumatic lithotriypsy and the precautionary measure. Methods Ureteroscopic pneumatic lithotriypsy was performed in 600 cases. The clinical data and the complications were analyzed retrospectively. Results Ureteral perforation occurred in 12 cases (2%),and urethral submucosa pseudocanal in 8 cases (1.3%). 1 case (0.17%) underwent nephrectomy because of ureteral stricture. Shift of the tone to the renal pelves occurred in 24 cases (4%),and hem...
Keywords:ureteroscopy  pneumaticlithothrypty  complication  
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