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我院1985年6月～1988年12月临床应用经尿道输尿管肾盂镜检查并诊治上尿路结石和其它疾病149例,镜检成功141例,占94.6%。取石和碎石126例,成功112例,占88.9%;失败14例,占11.1%。血尿待查4例,肿瘤3例,输尿管上段息肉及充盈缺损各1例,取异物(Double-J stent)5例,狭窄5例,炎症、积水4例,除1例无痛性血尿未找到原因外,其余均获得明确诊断,并作了处理。曾作输尿管扩张46例,未扩张103例。现将开展这一工作的经验总结如下。一、输尿管肾盂镜失败原因1.输尿管肾盂镜未能进入输尿管。由于解剖变异,管口畸形或麻醉不佳,管口发生痉挛、出血等。本组有8例未成功均与此有关,占5.4%。2.结石滑入肾下盏,硬性输尿管肾盂镜未能
Our hospital from June 1985 to December 1988 clinical application of transurethral ureteroscopy and diagnosis and treatment of upper urinary tract stones and other diseases in 149 cases, 141 cases of microscopic examination success, accounting for 94.6%. 126 cases of stone and gravel, 112 cases of successful, accounting for 88.9%; failure in 14 cases, accounting for 11.1%. 4 cases of hematuria, 3 cases of tumor, 1 case of polyps and filling defect in the upper ureter, 5 cases of Double-J stent, 5 cases of stricture, 4 cases of inflammation and hydronephrosis, except 1 case of painless hematuria To find the reason, the rest were a clear diagnosis, and made the deal. Ureteral dilatation for 46 cases, 103 cases did not dilate. The experience of carrying out this work is summarized below. First, the reasons for the failure of the ureteroscopy 1. Ureteroscopy failed to enter the ureter. Due to anatomical variations, or malformation orifice malformations, cramps spasm, bleeding and so on. This group of 8 cases are not related to this success, accounting for 5.4%. 2. Stones slide into the kidney, hard ureteroscopy failed