[1]陈伟文 吴荣海 程洲平 朱瑞龙 卢剑 邓硕 廖勇彬*.输尿管硬镜联合导入鞘内芯扩张在导入鞘置入失败中的应用价值[J].中国微创外科杂志,2020,01(2):142-144.
　Chen Weiwen,Wu Ronghai,Cheng Zhouping,et al.Application Value of Ureteroscope in Combination With the Inner Core of Ureteral Access Sheath Dilatation for Placement Failure of Ureteral Access Sheath[J].Chinese Journal of Minimally Invasive Surgery,2020,01(2):142-144.
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输尿管硬镜联合导入鞘内芯扩张在导入鞘置入失败中的应用价值()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年2期
页码:
142-144
栏目:
临床研究
出版日期:
2020-02-28

文章信息/Info

Title:
Application Value of Ureteroscope in Combination With the Inner Core of Ureteral Access Sheath Dilatation for Placement Failure of Ureteral Access Sheath
作者:
陈伟文 吴荣海 程洲平 朱瑞龙 卢剑 邓硕 廖勇彬*
（广东省江门市中心医院泌尿外科，江门529030）
Author(s):
Chen Weiwen;  Wu Ronghai;  Cheng Zhouping;  et al.
Department of Urology, Jiangmen Center Hospital, Jiangmen 529030, China
关键词:
输尿管软镜碎石术; 软镜导入鞘; 扩张术
Keywords:
Flexible ureteroscopy lithotripsy; Ureteral access sheath; Dilation
文献标志码:
A
摘要:
目的探讨输尿管硬镜联合导入鞘内芯扩张输尿管下段在导入鞘置入失败时的应用价值。 方法2017年1月~2018年12月，输尿管软镜钬激光碎石术中置入导入鞘失败57例，采用F8/9.8输尿管硬镜联合导入鞘内芯扩张输尿管下段。 结果经过扩张后顺利置入F12导入鞘41例（71.9%），均未见输尿管穿孔或撕裂。扩张后仍未能置入导入鞘16例中，3例留置双J管4周后成功置入F12导入鞘，11例行无导入鞘输尿管软镜钬激光碎石，2例行经皮肾镜碎石取石术。 结论输尿管硬镜联合导入鞘内芯扩张输尿管下段安全、有效，值得推广。
Abstract:
ObjectiveTo investigate the application value of ureteroscope in combination with the inner core of ureteral access sheath(UAS) dilatation of lower ureteral for placement failure of UAS.MethodsFrom January 2017 to December 2018, in 57 cases of placement failure of UAS during holmium laser lithotripsy under flexible ureteroscope, the F8/9.8 ureteroscope in combination with the inner core of ureteral access sheath was used for dilation.ResultsThe F12 UAS of 41 patients were successfully implanted after dilation, and all patients had no ureteral perforation or laceration. Among the 16 cases who still had UAS placed difficultly after dilatation, 3 patients after 4 weeks of indwelling double J tube were successfully inserted F12 UAS, 11 patients underwent flexible ureteroscopy lithotripsy without UAS, and 2 patients underwent percutaneous nephrolithotomy.ConclusionUreteroscope combined with inner core dilation of the lower segment of ureter is a safe and effective method, which is worthy of popularizing.

参考文献/References:

[1]Hyams ES,Monga M,Pearle MS,et al.A prospective,multiinstitutional study of flexible ureteroscopy for proximal ureteral stones smaller than 2 cm.J Urology,2015,193(1):165-169.
[2]余昆,石国忠,余志海,等.输尿管软镜在多重耐药菌感染且CT值<1000 HU鹿角形肾结石治疗中的应用(附11例报告).中国微创外科杂志,2019,19(7):592-596.
[3]Mogilevkin Y,Sofer M,Margel D,et al.Predicting an effective ureteral access sheath insertion:a bicenter prospective study.J Endourol,2014,28(12):1414-1417.
[4]Viers Boyd R,Viers Lyndsay D,Hull Nathan C,et al.The difficult ureter: clinical and radiographic characteristics associated with upper urinary tract access at the time of ureteroscopic stone treatment.Urology,2015,86(5):878-884.
[5]Geraghty R,Jones P,Somani BK,et al.Worldwide trends of urinary stone disease treatment over the last two decades:a systematic review.J Endourol,2017,31(6):547-556.
[6]Kaplan AG,Lipkin ME,Scales CD,et al.Use of ureteral access sheaths in ureteroscopy.Nat Rev Urol,2016,13(3):135-140.
[7]Al Busaidy SS,Kurukkal SN,Al Hooti QM,et al.Is RIRS emerging as the preferred option for the management of 2 cm-4 cm renal stones: our experience.Can J Urol,2016,23(4):8364-8367.
[8]Ba O,Tuygun C,Dede O,et al.Factors affecting complication rates of retrograde flexible ureterorenoscopy:analysis of 1571 procedures.A singlecenter experience.World J Urol,2017,35(5):819-826.
[9]Traxer O,Wendtnordahl G,Sodha H,et al.Differences in renal stone treatment and outcomes for patients treated either with or without the support of a ureteral access sheath:The Clinical Research Office of the Endourological Society Ureteroscopy Global Study.World J Urol,2015,33(12):2137-2144.
[10]Zelenko N,Coll D,Rosenfeld AT,et al.Normal ureter size on unenhanced helical CT.Am J Roentgenol,2004,182(4):1039-1041.
[11]Traxer O,Thomas A.Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery.J Urol,2013,189(2):580-584.
[12]范正超,李崇斌,朱晓黎,等.肾筋膜扩张器配合输尿管镜在男性输尿管壁段狭窄诊疗中的临床应用.中国微创外科杂志,2016,16(3):279-280,285.
[13]Monga M,Best SL,Venkatesh R,et al.Prospective randomized comparison of 2 ureteral access sheaths during flexible retrograde ureteroscopy.J Urol,2004,172(2):572-573.
[14]Han PK,Rohan M,Mohd AB.The shortterm outcome of laser endoureterotomy for ureteric stricture.Med J Malaysia,2013, 68(3):222-226.

备注/Memo

备注/Memo:
*通讯作者，Email：lybjm59@aliyun.com
更新日期/Last Update: 2020-05-16