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目的 :提高输尿管硬镜临床运用技术。方法 :回顾分析输尿管硬镜诊治 418例输尿管疾病的临床资料。结果 :采用输尿管导管引导 ,手控间断式水压扩张法直接进镜。手术成功率为 97.0 %。手术中并发输尿管穿孔 2例 (0 .5 % )。结论 :输尿管硬镜进镜时采用输尿管导管引导 ,手控间断式水压扩张法直接进镜 ,可简化操作 ,缩短手术时间 ,手术成功率高 ,并发症少 ,且可避免因灌注压过大而致结石上移。根据输尿管病变的不同 ,采用相应的治疗方法 ,疗效满意
Objective: To improve the clinical application of ureteral lens technology. Methods: The clinical data of 418 ureteral diseases diagnosed and treated by ureteroscopy were retrospectively analyzed. Results: Ureteral catheter guidance, manual intermittent hydraulic dilatation directly into the mirror. Surgical success rate was 97.0%. Surgery complicated by ureteral perforation in 2 cases (0.5%). Conclusions: The ureteroscopic ureter guided by the guide catheter ureter, manual intermittent hydraulic dilatation directly into the mirror, which can simplify the operation and shorten the operation time, the high success rate of surgery, fewer complications, and can avoid excessive perfusion pressure And cause the stone to move up. According to the different ureteral lesions, using the appropriate treatment, the effect is satisfactory