CAJ | 학술논문

目的探讨输尿管镜下碎石时发现输尿管狭窄后的处理方法及效果。方法采用采用输尿管镜直接扩张或使用输尿管扩张器扩张对165例输尿管结石合并输尿管狭窄患者进行扩张。结果153例顺利通过采用输尿管镜直接扩张或使用输尿管扩张器扩张后成功通过输尿管狭窄段,并成功碎石,12例因不能顺利置入DJ管而留置输尿管导管者,予以改行其他治疗方式达到治疗效果,1例术后因肾积水加重而切除肾脏,其余53例患者术后因失去联系未能随访观察。结论根据不同情况的输尿管狭窄进行正确处理,可以更好的治疗输尿管狭窄。
목적탐토수뇨관경하쇄석시발현수뇨관협착후적처리방법급효과。방법채용채용수뇨관경직접확장혹사용수뇨관확장기확장대165례수뇨관결석합병수뇨관협착환자진행확장。결과153례순리통과채용수뇨관경직접확장혹사용수뇨관확장기확장후성공통과수뇨관협착단,병성공쇄석,12례인불능순리치입DJ관이류치수뇨관도관자,여이개행기타치료방식체도치료효과,1례술후인신적수가중이절제신장,기여53례환자술후인실거련계미능수방관찰。결론근거불동정황적수뇨관협착진행정학처리,가이경호적치료수뇨관협착。
Objective:To investigate the clinical effect and mothed of ureteral stricture in ureteroscopic lithotripsy. Methods:165 patients with ureter stones and ureteral stricture,treated by ureteroscopic direct expansion or ureteral dilator. Results: 153 cases were successfully passed the ureteral stricture segment by ureteroscopic direct expansion or ureteral dilator and successfully lithotripsy, 12 cases were treated by other treatment because of DJ tube could not indwelled in ureteral and with the ureteral catherer,1 case was received nephrectomy postoperative because of aggravation hydronephrosis, 53 cases failed follow-up observation postoperative because of lossing.Conclusion: It can be better to process the different ureteral stricture by correct treatment.