Franco Miranda E, Vigues Julia F, Tesedo Cubero X, López Costea M A, Pérez Céspedes M, Gil-Vernet Sedo A, Rodríguez Tolra J, Serrallach Mila N
Servico de Urología, Hospital de Bellvitge, Principes de España, Barcelona.
Actas Urol Esp. 1990 Jan-Feb;14(1):4-7.
We make an evaluation of 66 ureteroscopies (URS) carried out in our Service over a period of 18 months. In 55 cases it was done for therapeutic purposes in ureteral lithiasis, and in 11 cases it was for diagnostic purposes. In the treatment of lithiasis resolutive effectivity at the first attempt was 68%, in 9% ureterolithotomy had to be performed due to the impossibility of approaching the calculus, and in 23% supplementary treatment was carried out by means of external litrotripsy. In the diagnostic field, effectivity was 72%. Notable complications arose in 6 cases (9%), 6 ureteral perforations, in three of which a urinoma was formed, all settled with a double J catheter. Open surgery was not resorted to in any case. No sequelae were observed and this technique therefore showed itself to be safe and effective.
我们对在18个月期间于我们科室进行的66例输尿管镜检查（URS）进行了评估。其中55例用于输尿管结石的治疗目的，11例用于诊断目的。在结石治疗中，首次尝试的结石清除有效率为68%，9%的病例因无法接近结石而不得不进行输尿管切开取石术，23%的病例通过体外冲击波碎石术进行辅助治疗。在诊断方面，有效率为72%。6例（9%）出现了显著并发症，6例输尿管穿孔，其中3例形成尿瘤，均通过双J导管解决。所有病例均未采用开放手术。未观察到后遗症，因此该技术显示出安全有效。
