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一、输尿管镜的插入全部患者均住院治疗。因30％左右的病例在术后可见到发热,因此无论有无路感染,均从术前1～2日投用预防性抗菌素。为了顺利地插入输尿管镜,手术前一天,在患侧插入UPJ囊状导管,注入0.5ml生理盐水充盈球篓,并留置于壁段输尿管内。由于球囊闭塞了输尿管,结石以下的输尿管就积水、扩张,输尿管镜插入可变得比较容易。没有因此而诉说侧腹部痛疼的病例,但在手术当日有发热者,用此法时,必须在术前投用足量抗菌素。麻醉选用4～5腰椎间持续硬膜外或腰麻,对中上段输尿管必要时麻醉胸10以下区域。
First, the ureteroscopic insertion of all patients were hospitalized. Because of about 30% of cases in the postoperative can be found in fever, so no matter whether there is no infection, were from 1 to 2 preoperative prophylactic antibiotics. In order to successfully insert the ureteroscope, one day before the operation, the UPJ cystic duct was inserted on the affected side, filled with 0.5 ml normal saline and filled in the wall ureter. As the balloon occlusion of the ureter, ureteral stones following hydrothorax, expansion, ureteroscopic insertion can become easier. There was no explanation of pain in the flank because of this, but with fever on the day of surgery, enough antibiotics must be administered preoperatively with this method. Narcotic use of 4 to 5 lumbar intervertebral continuous epidural or spinal anesthesia, the upper ureteral anesthesia if necessary 10 below the thoracic area.