CAJ | 학술논문

目的探讨无管化输尿管镜技术治疗输尿管中下段石街的方法及临床效果.方法 2008年10月～2012年10月,对37例上尿路结石患者行输尿管镜下碎石取石术后形成输尿管中下段石街的病例在拔除双J管的同时,对输尿管中下段石街进行处理,术后均不留置输尿管支架管.结果局麻治疗成功36例,腰硬联合麻醉处理l例,手术时间为15 ～ 54min,平均37min,术中无输尿管穿孔等严重并发症,术后无发热,无明显腰部疼痛及尿频、尿急等膀胱刺激症状.结论输尿管镜术后形成的输尿管中下段石街再次处理时,可以不放置输尿管支架管,既简便又安全可靠,值得应用.
목적 탐토무관화수뇨관경기술치료수뇨관중하단석가적방법급림상효과.방법 2008년10월～2012년10월,대37례상뇨로결석환자행수뇨관경하쇄석취석술후형성수뇨관중하단석가적병례재발제쌍J관적동시,대수뇨관중하단석가진행처리,술후균불류치수뇨관지가관.결과 국마치료성공36례,요경연합마취처리l례,수술시간위15 ～ 54min,평균37min,술중무수뇨관천공등엄중병발증,술후무발열,무명현요부동통급뇨빈、뇨급등방광자격증상.결론 수뇨관경술후형성적수뇨관중하단석가재차처리시,가이불방치수뇨관지가관,기간편우안전가고,치득응용.
Objectives To explore the clinical effect of stentless ureteroscopic technique in the treatment of ureteral stone street of middle or lower segments.Methods From 0ct 2008 to 0ct 2012,37 cases patients with unilateral ureteral stone street of middle or lower segments,were treated with Ureteroscopy,postoperative ureteral stents tube were not retained.Results 36 cases were successfully treated with Local anesthesia,Lumbar epidural anesthesia handling one cases,operation time was 15-54 minutes,average 37 min,No intraoperative complication was recorded in the form of ureteral perforation,no heat,no obvious waist pain and frequency,urgency and bladder irritation symptoms postoperatively.Conclusions Ureteroscopy postoperative formation of the ureter in the middle or lower Stone Street is processed again,may not be placed ureteral stent,easy,safe and reliable,it is worth Application.