摘要
目的 探讨输尿管抓钳在输尿管镜手术中的应用。 方法 回顾分析我院 2 0 0 1年 4月～ 2 0 0 3年 7月 74例输尿管镜手术中输尿管抓钳的应用 ,包括摘除息肉再行气压弹道碎石 2 5例 ,作为硬质导引通过输尿管扭曲部 2 1例 ,扩张输尿管狭窄部通过输尿管镜再行碎石 19例 ,输尿管完全性膜状闭塞 3例 ,治疗术后双J管上移 3例 ,术中活检 2例 ,尿道狭窄拔除双J管 4例 ,尿道结石气压弹道碎石 2例。 结果 6 9例获成功。抓钳故障改开放手术 1例 ,输尿管穿孔 4例。 结论 输尿管抓钳是输尿管镜手术中不可缺少的工具 ,灵活运用有利于手术的顺利进行。
Objective To study the clinical application of ureteral grasping forceps in ureteroscopic operations. Methods A total of 74 cases treated under ureteroscope by using ureteral grasping forceps from April 2001 to July 2003 in this hospital was retrospectively analyzed. There were 25 cases of polyp resection and pneumatic lithotrity, 21 cases of rigid guidance through ureteral retortion, 19 cases of ureteral stricture dilation and ureteroscopic lithotrity, 3 cases of whole ureteral membranous obstruction, 3 cases of ascending shift of double “J” tube, 2 cases of intraoperative biopsy,4 cases of removal of double “J” tube with urethral stricture,and 2 cases of pneumatic lithotrity. Results The procedures were successfully accomplished in 69 cases.A conversion to open operation was required because of malfunction of ureteral grasping forceps in 1 case, and ureteral perforation occurred in 4 cases. Conclusions Ureteral grasping forceps is indispensable in ureteroscopic operations, which should be skillfully operated.
出处
《中国微创外科杂志》
CSCD
2004年第3期240-240,242,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
输尿管镜
输尿骨抓钳
Ureteroscopy
Ureteral grasping forceps
