输尿管

In 149 cases caused by operation injure, 108 cases were treated with dilatation on ureteroscopy under direct vision, 17 cases with the balloon dilatation, 11 with dilatation by fascia dilator and 13 with endopylotomy by cold knife.The success rats were 80%, 71%, 64% and 85% respectively.

手术损伤导致狭窄149例，采用输尿管镜直视下扩张术108例，气囊扩张17例，输尿管导管扩张术11例，输尿管镜直视下冷刀切开术13例，成功率分别为80%，71%，64%，85%。

Objective To evaluate the effect of ureteroscope pneumatic lithotrity on treatment of ureteral calculi.

目的探讨输尿管镜气压弹道碎石治疗输尿管结石的效果。方法回顾性分析156例165侧输尿管结石行URSL的临床资料。

Objective To evaluae the clinical use of ureteroscope pneumatic lithotrity on the treatment of ureteral stones.Methods 412patients with stone in ureter were treated with the above mentioned lithotriptor.

目的 探讨输尿管镜气压弹道碎石术治疗输尿管结石的临床疗效方法采用URS取石或配合气压弹道碎石术治疗输尿管结石患者412例。

Objective To evaluate applicability and therapeutic effects of acute calculi obstructive renal failure with uretropyeloscopy. Methods 21 patients with acute calculi obstructive renal failure were treated by ballistic lithotrity under ureteropyeloscopy and indwelled with double-J catheters.

目的 探讨输尿管镜在处理因结石梗阻引起肾衰时的应用和疗效方法对21例输尿管结石19例（其中上段4例，中下段15例，肾盂内发性结石并出口梗阻3例）出现梗阻性肾衰的患者实施输尿管气压弹道碎石术及留置双J管治疗。

PLU is safe and effect on ureteral calculi, especially for calculi in middle and lower section.

输尿管镜下气压弹道碎石术治疗输尿管结石安全有效，可作为中下段输尿管结石的首选治疗方法。

Results: 15 cases of patients were diagnosed as primary ureteral carcinoma by B-ultrasonography, intravenous pyelogram, cystoscopy and retrograde urography, CT, MRI, ureteroscopy before operation. all of the patients were proved to be transitional cell carcinoma by pathological examination after operation.

结果：术前15例患者经B超、静脉肾盂造影、膀胱镜及逆行肾盂输尿管造影、输尿管镜等检查诊断为原发性检尿管癌。18例患者均经术后病理检查确诊为原发性输尿管癌。

Abstract］ objective to assess the efficacy and safety of holmium laser urethrotomy under ureteroscope to treat the urethral stricture.methods 16 cases were treated by holmium laser resection under ureteroscope.the length of the stricture was 0.1～1.0 cm.the blood loss and the complications as well as curative effect after operation were observed.results all of the cases were treated successfully with less bleeding and no severe complications.the maximal urinary flow rate improved obviously after operation.conclusion the holmium laser under ureteroscope demonstrates good effect to treat urethral stricture.

目的 探讨输尿管镜下钬激光切开术治疗尿道狭窄的疗效。方法 16例患者采用经尿道输尿管镜下钬激光切开术治疗，狭窄长度0.1～1.0 cm，观察其术中出血、术后并发症及疗效。结果 16例患者均顺利完成手术，疗效满意，术中出血少，术后最大尿流率较术前有明显改善，无严重并发症发生。结论输尿管镜下钬激光切开术治疗对尿道狭窄是一种安全、微创且行之有效的治疗方法。

Result:2 cases were made definite diagnosis among celiotomy exploratory, 1 case was diagnosed next day after injury, Another 3 cases weren't made definite diagnosis until 5～25 days later. 3 cases were taken ureter or ureter to renal pelvis end-to-end one-stage anastomosis early,2 cases were taken urinary cyst resection and ureter end-to-end anastomosis three months later,1 case performed extravsation of urine drainage only.

结果：2例在早期剖腹探查中明确诊断，1例于伤后d2明确诊断，另3例在伤后5～25d才明确诊断。3例早期行一期输尿管或输尿管肾盂端端吻合术，2例于损伤3个月后行尿液性囊肿切除输尿管端端吻合术，1例行单纯尿液引流。

The reconstruction with mip show that the percent of excellent was 67.2% and the worse was 32.8%.the accuracy of diagnosis respectively was 86.7%,50.0%,80.0%,77.8% and 50.0%.conclusion according to ureteral tract brightness,high image quality and high success rate with correctly reconstruction can delineate ureter cubicity,which is helpful in diagnosing and instructing clinical treatment.

mip显示：图像评级为优良39例(67.2%)，评级为差19例(32.8%)。疾病判断的准确度为：结石86.7%、肿瘤50.0%、囊肿80.0%、先天性狭窄77.8%、炎症50.0%。结论根据输尿管显像程度，选择合适的重建方法完整显示输尿管与疾病的解剖关系，有助于疾病的诊断和指导临床治疗。 x线计算机；输尿管造影；诊断；重建

Results Eight cases all cured, thereinto, one stitches removed, one ureter membrane repaired, by cystoscopic reversing ureter, two diversion by embedding D-J pipe, one ureter anastomosed, one kidney cutted, two bladder repaired.

结果 8例均治愈，其中拆除缝线1例，行输尿管浆肌层修补1例，经膀胱镜逆行输尿管植入D-J管引流2例，输尿管端端吻合1例，肾切除1例，膀胱修补2例。

Do you know, i need you to come back

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Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。