Adolfsson J, Lindström A C, Carbin B E, Ekman P
Department of Urology, Karolinska Hospital, Stockholm, Sweden.
Scand J Urol Nephrol. 1990;24(2):113-5. doi: 10.3109/00365599009180374.
Our experience of 223 ureteroscopies and stone manipulations is reported. Stone removal was successful in 82% of the cases whereof the stones were pushed back into the renal pelvis and subsequently managed with percutaneous nephrolithotomy or extracorporeal shock wave lithotripsy in 24%. For distal stones the success rate was 88%. Reasons for failure were acute obstruction of the ureter and previous surgery or irradiation to the pelvis. In six cases (4%) strictures requiring treatment developed secondary to ureteroscopy. Ureteroscopy can be a tedious and difficult procedure with a considerable learning time. In experienced hands the rate of serious complications is low and the procedure is an alternative in the treatment of ureteric stones, especially in the distal part of the ureter.
本文报告了我们223例输尿管镜检查及结石处理的经验。82%的病例成功取出结石，其中24%的结石被推回肾盂，随后采用经皮肾镜取石术或体外冲击波碎石术处理。对于远端结石，成功率为88%。失败原因包括输尿管急性梗阻以及既往盆腔手术或放疗史。6例（4%）患者因输尿管镜检查继发需要治疗的狭窄。输尿管镜检查可能是一个冗长且困难的操作，需要相当长的学习时间。在经验丰富的医生手中，严重并发症发生率较低，该操作是输尿管结石治疗的一种选择，尤其是输尿管远端结石。
