输尿管镜手术时入镜困难66例临床分析

目的:探讨输尿管镜手术时入镜困难的原因与对策。方法:2003年4月～2005年12月共作输尿管镜手术1256例次,其中66例发生入镜困难,均采用相关方法处理。结果:6例采用技巧性旋转入镜成功,53例采用调节体位输尿管扩张等方法入镜成功,2例中转开放手术,5例插管后行ESWL。结论:克服输尿管镜入镜困难的要点是熟悉输尿管的解剖结构与镜下的立体空间感及操作技巧。

Clinic analysis of the access diffculties during rigid transurethral ureteroscopy(Reports of 66 cases)

Objective:To analysis the causes of difficult access during rigid transurethral ureteroscopy and their management.Methods:Totally 1 256 case of rigid transurethral ureteroscopy were evaluated retrospectively.Of which,difficult accesse was encountered in 66 cases.Results:Among 66 cases,6 achieved success with rotation skill,53 achieved success by changing position of patient and dilating the ureter,2 tranfered to opening surgery,and 5 inserted ureter catheter and transferred to ESWL.Conclusions:Difficult access to ureter is not rare,we should be familiar with the anatomy of ureter and master the techniques of operation.