Hassan A I, Al-Hammodi B Ms, Ramzi R M
Department of Surgery, College of Medicine, University of Mosul, Mosul, Iraq.
Aljamhoori Teaching Hospital, Mosul Health Directorate, Ministry of Health/Environment, Mosul, Iraq.
Urologiia. 2020 Sep(4):18-20.
Over the past several decades, there has been a significant increase in the prevalence of nephrolithiasis in the general population. Ureteroscopy has become the treatment of choice for a growing number of urologic conditions; ureteroscopy is still relatively new procedure and continue to undergo significant advancement. The recent technical development of small caliber semi rigid and flexible deflectable ureteroscopes and the development of diminutive intra-corporeal lithotripsy probes have made the retrograde access to urinary calculi throughout the entire ureter a more feasible and low-risk technique. The study aims to identify the need for use of laser lithotripsy and/or other ureteroscopic ancillary equipment (ureteric stent, ureteric catheter, forceps and dormia basket) in patient undergoing ureteroscopy for ureteric stone management. A prospective observational study from 2013 to 2015. The study conducted in urosurgical theater in Al-Jumhoori Teaching Hospital. 200 patient with ureteric stone in the study treated by ureteroscopy. The mean age of the patient is 36 years. Ureteroscopy had done in the right side in 98 patients, left side in 83 patients, and bilateral ureteroscopy in 19 patients. Ureteric stones found in upper ureter in 86 patients, middle ureteric stone seen in 40 patients, and lower ureteric stone founded in 108 patients, whereas 16 patients had stones at more than one location. Ureteric catheter used in 33 patients, and had been removed after 48-72 hours, while Double J stent had been used in 175 patients and had been removed after 2 to 8 weeks.
在过去几十年中，普通人群中肾结石的患病率显著上升。输尿管镜检查已成为越来越多泌尿系统疾病的首选治疗方法；输尿管镜检查仍是一种相对较新的手术，并且仍在不断取得重大进展。小口径半刚性和可弯曲输尿管镜的最新技术发展以及小型体内碎石探针的开发，使逆行进入整个输尿管的尿路结石成为一种更可行且低风险的技术。本研究旨在确定在接受输尿管镜检查以治疗输尿管结石的患者中使用激光碎石术和/或其他输尿管镜辅助设备（输尿管支架、输尿管导管、镊子和Dormia篮）的必要性。这是一项2013年至2015年的前瞻性观察研究。该研究在朱姆胡里教学医院的泌尿外科手术室进行。200例输尿管结石患者接受了输尿管镜检查治疗。患者的平均年龄为36岁。98例患者在右侧进行输尿管镜检查，83例在左侧，19例进行双侧输尿管镜检查。86例患者在上段输尿管发现结石，40例患者中段输尿管有结石，108例患者下段输尿管有结石，而16例患者结石位于多个部位。33例患者使用了输尿管导管，并在48 - 72小时后取出，而175例患者使用了双J支架，并在2至8周后取出。
