Deliveliotis C, Picramenos D, Alexopoulou K, Christofis I, Kostakopoulos A, Dimopoulos C
Department of Urology, University of Athens, Sismanoglion Hospital, Greece.
Int Urol Nephrol. 1996;28(4):481-4. doi: 10.1007/BF02550954.
The aim of this study was to investigate the possibility to perform bilateral ureteroscopy in one session and to determine the procedure's indications and complication rate. Twenty-two patients underwent bilateral ureteroscopy in one session. Eighteen patients had bilateral lithiasis of the lower ureteral third, three patients had unexplained haematuria and one had unexplained bilateral hydronephrosis. The rigid ureteroscope was used in cases with stones and the flexible one in cases with haematuria and hydronephrosis. Ureteral catheters were placed in all patients. The overall stone-free rate was 83.3%. The procedure failed to confirm a diagnosis in 2 patients with unexplained haematuria. Follow-up included IVU and retrograde cystogram 3 months after the procedure and a renal scan one year later. No major complication was observed. It is concluded that bilateral ureteroscopy in one session can be performed safely in selected patients. The method does not yield major complications and saves patients from a second procedure and a second anaesthesia.
本研究的目的是探讨一次进行双侧输尿管镜检查的可能性，并确定该手术的适应证和并发症发生率。22例患者一次接受了双侧输尿管镜检查。18例患者为双侧输尿管下段结石，3例患者有不明原因血尿，1例患者有不明原因双侧肾积水。结石病例使用硬性输尿管镜，血尿和肾积水病例使用软性输尿管镜。所有患者均留置输尿管导管。总体结石清除率为83.3%。该手术未能确诊2例不明原因血尿患者的病因。随访包括术后3个月的静脉肾盂造影和逆行膀胱造影，以及1年后的肾扫描。未观察到重大并发症。结论是，在选定的患者中，一次进行双侧输尿管镜检查可以安全实施。该方法不会产生重大并发症，使患者免于二次手术和二次麻醉。
