输尿管镜治疗输尿管狭窄

目的采用输尿管镜相关的腔内技术治疗输尿管狭窄。方法对36例输尿管狭窄的患者采用输尿管镜下球囊扩张、狭窄段切开及手术后留置双J管的方法治疗。结果手术成功29例(80．6％)，失败改开放手术7例。术后3个月随访，IVU和超声显示22例(75．9％)患者输尿管狭窄明显解除，好转5例(17．2％)，无效2例(6．9％)。结论采用输尿管镜技术是治疗输尿管狭窄的有效方法之一，提高手术成功率和减少并发症的关键在于病例的选择和具备一定的经验。

Treatment of ureteral stricture by ureteroscopic techniques

Objective: To treat ureteral stricture using ureteroscopic techniques. Methods: Thirty-six cases of ureteral stricture were treated by balloon dilation, internal ureterotomy and indwelling double J stent postoperatively. Results: Twenty-nine (80.6%) patients were treated by ureteroscopic techniques successfully and were followed-up in 3 months, 22 cases (75.9%) were cured, 5 cases (17.2%)were improved and 2 cases (6.9%) were failed. Conclusions: Ureteroscopic technique is one of an effective means to treat ureteral stricture. To acquire high successful rate and low complications, the selection of cases and the experience are important.