Clinical application of rigid ureteroscope Experience.docVIP

 PAGE \* MERGEFORMAT 6 Clinical application of rigid ureteroscope Experience Authors: Yang Xigang, Wang Xiaohong, Song Ju-feng, Li Yong [Keywords:] rigid ureteroscope; upper urinary tract diseases; microscopy In recent years, with the urinary cavity technology development, as well as the ureteroscope design and production improvements in the clinical application of ureterorenoscopy more and more widely, our hospital since May 2002 -2,008 years in March, the clinical application of rigid ureteral Mirror diagnosis and treatment of renal disease, 120 cases of upper urinary tract, are reported as follows. A clinical data 1.1 General Information of this group of 120 cases, male 83 cases, female 37 cases, aged 18 to 65 years old, with an average 32.5 years old, the implementation of rigid ureteroscope examination for use in the diagnosis and treatment of urinary tract stones, obstruction, hematuria and double-J tube retention. Preoperatively underwent KUB, IVU, B-ultrasonography and serum Cr, BUN, etc. checks. 1.2 Equipment and materials used equipment made HAWK8.5 rigid ureteroscope, the United States CIRCON TV monitoring system, TPN-3L bag, 4F ~ 6F ureteral catheter or metal guide wire, 5F, 6F, 7F double-J tube, 18F ~ 20F three chamber balloon catheter. 1.3 Methods of epidural anesthesia or spinal anesthesia, with ureteral catheter or metal wire guide, hydraulic-assisted infusion, and use pick France into the mirror, side mirror edge into the cavity whether the observed ureteral stones, vegetation, lumen non-distorted, narrow, mucous membrane color, vascular lines is clear and smooth. After microscopic examination of conventional indwelling ureteral stent or indwelling catheterization, according to the nature and microscopic lesions in the operation of the process, indwelling 1 ~ 8 weeks. After anti-infection, maintain patency, and the water drainage pipe. 1.4 Results in 120 cases of successful home mirror 105 (87.5%), not placed in 15 cases (12.5%). Foun