输尿管镜手术并发症分析与防治

目的：总结输尿管镜手术并发症及其防治措施。方法：：对250例应用输尿管镜手术患者临床资料进行回顾性分析，统计术中、术后发生的各种并发症及其处理方法。结果：术中输尿管穿孔3例（1．20％），1例改行开放手术，2例经留置双J管保守治疗；术后肉眼血尿173例（69．2％），应用止血药物对症治疗1～2天后血尿消失；术后腰痛41例（16．4％），其中肾绞痛5例（2．0％），针对引起腰痛的不同原因进行相应处理；感染9例（3．6％），经抗感染和拔除双J管等治疗后恢复；结石残留28例（占输尿管结石患者12．4％），子保留双J管行ESWL治疗后痊愈。结论：应用输尿管镜手术成功率高。严重并发症较少见，且绝大多数行保守治疗可得到解决；熟练的手术操作是减少输尿管镜手术并发症的关键。

Clinical analysis and management of complications of ureteroscopy

Objective:To summarize the complications of ureteroscopy as well as following management.Methods: The medical records of 250 in-patients undergoing ureteroscopy were reviewed retrospectively.The intraoperative and postoperative complications as well as their treatment were analyzed.Results:Ureteral perforation occuned in 3 cases(1.20%),of whom 1 underwent open operation and 2 underwent conservative treatment placed of double J tubes.Hema turia after operation was found in 173 cases(69.2%).Hematuria mostly d...