The Dfficulties and Cmplications of Ueteroscopy and the Mangement Strategies
10.3969/j.issn.1001-1420.2009.07.019
- VernacularTitle:输尿管镜术中困难和并发症的原因与对策
- Author:
HUANG XIAOJIA
1
;
WEN BO
;
QIU JIEWEN
;
PENG RUIYUAN
;
FENG HAIHANG
;
QIU JIANZHONG
;
LI CHUN
Author Information
1. 广东省深圳市宝安区人民医院
- Keywords:
ureteroscopy;
ureter injury;
ureter stone
- From:
Journal of Clinical Urology
2009;24(7):538-539,545
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analysis the difficulties and complications emerged during transurethral ureteroscopy and offer their management strategies. Methods: A total of 900 patients accepting rigid transurethral ureteroscopy from May 1998 to October 2008, were evaluated retropspeetively. Results: Among 900 cases, 83 cases were found difficulties during transurethral ureteroscopy, of which 45 cases were early cases. 2.6% cases (24 cases) were converted to open surgery, of which 14 cases were early cases. The causes of conversion to open include: ureteral orifice of 3 patients could not be found (12.5%), ureteroscopy failed to enter ureteral orific in 5 patients (20.9%), ureteroscopy failed to get to the ill place in 5 patients (20.9%), ureter perforation occurred in 7 pa-tients (29.1%) , ureter avulsion occurred in 2 patients (8.3%), stones shifted to renal pelvis in 2 patients (8.3%). Conclusions: There are more difficulties and complications during ureteroscopy at early stage. Strictly mastering surgical indications, strengthening preoperative training, mastering the surgical technique is the key to reduce the failure rate and complications of ureteroscopy.
