【摘要】 目的探讨输尿管封堵器在输尿管镜钬激光碎石治疗输尿管中上段结石中的应用.方法 2010年10月至2011年10月,采用输尿管镜下置入英诺伟(TMIVX-SCl0)输尿管封堵器封堵结石后钬激光碎石治疗输尿管中上段结石78例,其中上段41例,中段37例.结石直径为10～24 mm.结果成功封堵的71例(91%)URS手术,一次性彻底击碎结石.未有效封堵的7例手术中,2例辅助ESWL手术.手术时间为32～66 min,平均46min;术后2～7 d出院,平均3.3 d;术中无明显输尿管损伤及明显出血等严重并发症.结论输尿管封堵器下进行的URS手术,可有效缩短手术时间及术后住院时间,有利于结石的完全粉碎,提高结石排净率,最大程度减少其它辅助治疗,是一种值得普及和推广的方法.更多还原

【Abstract】 Objective To evaluate the efficacy and safety of ureteral occlusion devices used in ureteroscopic holium laser lithotripsy for treatment of upper-middle ureteral calculi.Methods From October 2010 to October 2011,a total of 78 patients with upper-middle ureteral calculi,41 upper ureteral calculus and 37 middle ureteral lacalus,were treated with holium laser lithotripsy via a F8/9.8 ureteroscope,combined with a INNOVEX IVX-SC10 ureteral occlusion device.The diameters of ureteral calculi were 10～24 mm.Results All operations were successfully performed without obvious ureteral injury and serious bleeding.71(91%)cases were successfully occluded with stones being completely crushed once.7 cases were not effectively occluded,two of which were treated with ESWL.Mean Operative time was 46 min(32～66 min).Mean postoperative hospital stay was 3.3 days(2～7 days).Conclusions The new ureteral occlusion device is worthy of popularization and promotion in favor of shortening operative time and postoperative hospital stay,increasing stone-free rate,reducing other adjuvant therapies with the maximum extent.更多还原