| 输尿管镜在输尿管梗阻中的诊治价值 |
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| 引用本文： | 李辉 陈文彬 葛金山 刘军平 崔书平 张伟玲 刘建震. 输尿管镜在输尿管梗阻中的诊治价值[J]. 中国微创外科杂志, 2005, 5(10): 848-849 |
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| 作者姓名： | 李辉 陈文彬 葛金山 刘军平 崔书平 张伟玲 刘建震 |
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| 作者单位： | 中国人民解放军第二六零医院泌尿外科,石家庄050071 |
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| 摘 要： | 目的探讨输尿管镜在输尿管梗阻诊治中的价值.方法应用输尿管镜对52例非结石性输尿管梗阻进行诊治.结果输尿管狭窄35例(行输尿管镜硬性扩张19例,气囊扩张13例,腹腔镜下输尿管成形术3例),输尿管息肉13例行钬激光切除,输尿管癌3例改行开放手术,腔静脉后输尿管1例改行输尿管成形术.手术并发黏膜明显裂伤或黏膜下假道2例,输尿管穿孔1例,其它并发症.结论输尿管镜术能明确输尿管梗阻的病因,并能采取相应治疗.
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| 关 键 词： | 输尿管镜 输尿管梗阻 |
| 文章编号： | 1009-6604(2005)10-0848-02 |
| 收稿时间： | 2005-01-20 |
| 修稿时间： | 2005-06-20 |
Application of ureteroscopy in the diagnosis and treatment of ureteral obstruction |
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| Li Hui, Chen Wenbin, Ge Jinshan,et al.. Application of ureteroscopy in the diagnosis and treatment of ureteral obstruction[J]. Chinese Journal of Minimally Invasive Surgery, 2005, 5(10): 848-849 |
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| Authors: | Li Hui Chen Wenbin Ge Jinshan et al. |
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| Affiliation: | Department of Urology, The 260th Hospital of PLA, Shijiazhuang 050071, China |
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| Abstract: | Objective To evaluate the application value of ureteroscopy in the diagnosis and treatment of ureteral obstruction. Methods Clinical data of 52 cases of non - calculous ureteral obstruction treated by ureteroscopy were analyzed retrospectively. Results Of 35 cases of ureteral stricture, 19 cases of routine dilatation, 13 cases of balloon dilatation, and 3 cases of ureteroplasty were accomplished under ureteroscope. Holmium laser resection was employed in 13 cases of ureteral polyps. Conversions to open surgery were required in 3 cases of ureteral cancer, and an ureteroplasty was carried out in 1 case of retrocaval ureter. Complications included 2 cases of ruptured mucous membrane or urethral false passage and 1 case of ureteral perforation. Conclusions Ureteroscopy can clarify the etiology of ureteral obstruction and offer corresponding treatment. |
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| Keywords: | Ureteroscope Ureteral obstruction |
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