el Khader K, Koutani A, el Yazidi A, Ibn Attya A, Hachimi M, Lakrissa A
Service d'Urologie B, Hôpital Avicenne, Rabat, Maroc.
Ann Urol (Paris). 1998;32(1):33-7.
Rigid ureteroscopy has become a common tool for the diagnosis and management of several diseases of the upper urinary tract. Between April 1990 and April 1996, 92 ureteroscopy procedures were performed in 88 patients in the B Urology Department of Avicennes hospital for diagnostic or therapeutic purposes. The commonest therapeutic procedure was stone manipulation (72 cases). The overall success rate was 90.8% (Distal ureter: 89.6%, mid ureter: 80%, lumbar ureter: 100%) and the complication rate was 4%. Therapeutic ureteroscopy was also used to dry ureterovaginal fistula (4 cases) and ureteral fistula with retroperitoneal urinoma (2 cases), and to remove a double J stent which had migrated into the pelvic ureter (3 cases). Diagnostic ureteroscopy was performed for 7 ureteral strictures including 3 extrinsic compressions and 4 ureteral strictures all treated with dilatations after biopsy. One false passage was observed among diagnostic ureteroscopy procedures. Rigid ureteroscopy is a minimally invasive and reliable technique for the management of ureteric calculi and for the diagnosis and treatment of other ureteric lesions.
硬性输尿管镜已成为诊断和处理上尿路多种疾病的常用工具。1990年4月至1996年4月期间，阿维森纳医院泌尿外科对88例患者实施了92例输尿管镜手术，目的是诊断或治疗。最常见的治疗手术是结石处理（72例）。总体成功率为90.8%（输尿管远端：89.6%，输尿管中段：80%，输尿管腰部：100%），并发症发生率为4%。治疗性输尿管镜还用于处理输尿管阴道瘘（4例）和伴有腹膜后尿瘤的输尿管瘘（2例），以及取出移入盆腔段输尿管的双J支架（3例）。对7例输尿管狭窄进行了诊断性输尿管镜检查，其中包括3例外部压迫和4例输尿管狭窄，活检后均行扩张治疗。在诊断性输尿管镜手术中观察到1例假道。硬性输尿管镜是一种微创且可靠的技术，可用于处理输尿管结石以及诊断和治疗其他输尿管病变。
