CAJ | 학술논문

目的探讨输尿管镜技术常见并发症的原因及防治对策.方法 2004年2月至2009年2月我院应用输尿管镜技术处理768例输尿管疾病所发生的并发症进行回顾性分析.结果术中并发症:置镜失败6例(0.78%),输尿管口损伤、黏膜下假道形成12例(1.56%),输尿管穿孔16例(2.08%),结石移位13例(1.87%,13/697),输尿管黏膜撕脱3例(0.39%).术后并发症:腰痛、肾绞痛11例(1.43%),感染9例(1.17%),严重血尿5例(0.65%).结论熟练的技术操作及严格掌握手术适应证是减少输尿管镜技术并发症的关键.
목적 탐토수뇨관경기술상견병발증적원인급방치대책.방법 2004년2월지2009년2월아원응용수뇨관경기술처리768례수뇨관질병소발생적병발증진행회고성분석.결과 술중병발증:치경실패6례(0.78%),수뇨관구손상、점막하가도형성12례(1.56%),수뇨관천공16례(2.08%),결석이위13례(1.87%,13/697),수뇨관점막시탈3례(0.39%).술후병발증:요통、신교통11례(1.43%),감염9례(1.17%),엄중혈뇨5례(0.65%).결론 숙련적기술조작급엄격장악수술괄응증시감소수뇨관경기술병발증적관건.
Objective To discuss the causes of common complications of ureteroscopy and how to prevent them. Methods A total of 768 cases of common complications of ureteroscopy were retrospectively analyzed from February 2004 to February 2009. Results The intra-operative complications were failed entry ( n = 6, 0. 78% ) , ureterostoma injury and ureterostoma submucosa pseudocana ( n = 12, 1. 56% ) , ureteral perforation ( n = 16, 2. 08% ) , stone displacement ( n = 13 , 1. 87% ) and ureteral mucosa evulsion ( n = 3, 0. 39% ). And the post-operative complications were lumbago or renal colic ( n = 11, 1. 43% ) , infection ( n = 9, 1. 17% ) and severe hematuria ( n = 5 , 0. 65% ) . Conclusion Skillful operative techniques and strict indications are key to reducing complications of ureteroscopy.