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目的:总结输尿管镜下治疗输尿管疾病出现的常见并发症及其防治对策。方法:2008年来应用输尿管镜技术对532例患者进行治疗,其中28例出现并发症,对其临床资料进行分析。结果:出现并发症28例分别为输尿管黏膜出血5例,输尿管穿孔3例,输尿管狭窄4例,感染性休克3例,结石残留7例,均见于结石患者;5例出血患者见于输尿管瘢痕狭窄扩张术后;另1例感染性休克发生于双J管锈石患者,无输尿管穿孔、断裂、坏死等。结论:输尿管镜操作并发症的发生与手术者的技术操作、术前准备完善与否密切相关。熟练掌握这项技术,可有效减少手术并发症,提高手术成功率。
Objective: To summarize the common complications of ureteroscopic treatment of ureteral diseases and its prevention and treatment. Methods: In 2008, ureteroscopic technique was used to treat 532 patients. Complications were found in 28 of them and their clinical data were analyzed. Results: There were 5 cases of ureteral mucosal hemorrhage, 3 cases of ureter perforation, 4 cases of ureteral stricture, 3 cases of septic shock and 7 cases of residual stones, both of which were found in patients with calculus. Five cases of hemorrhage were found in ureteral scar stenosis Postoperative; another case of septic shock occurred in double J tube rust patients, no ureter perforation, rupture, necrosis and so on. Conclusion: The complications of ureteroscopic operation are closely related to the technical operation of the surgeon and the perfection of preoperative preparation. Proficiency in this technology can effectively reduce the surgical complications and improve the success rate of surgery.