Abstract：Objective： To explore the benefit of cystocentesis in patients with access difficulty of ureteroscopy. Methods： 316 patients with complication ureteroscopy from January 2013 to December 2019 were included and divided into observation (112 cases) group with bladder micropuncture and control group (204 cases). During the operation, ureteroscopy entered the ureter directly or guided by zebra guide wire or ureteral duct under the continuous hydraulic perfusion. When pressure in bladder increased and access difficulty suffered, bladder micropuncture was conducted on cases of observation group. Rates of successful entry, retroperitoneal fluid extravasation, postoperative fever, postoperative bleeding/perirenal hematoma ureteral injury and postoperative stone residual between two groups were compared and analyzed. Results： The observation group had higher rate of successful entry, lower rate of retroperitoneal fluid extravasation and postoperative fever than in control group. Conclusion： Bladder micropuncture under the continuous hydraulic perfusion may obtain higher rate of successful entry and lower rate of postoperative complications such as retroperitoneal fluid extravasation and postoperative pyrexia.
马贵斌, 吴俊伸, 陶志兴, 李立宇. 膀胱微穿刺引流在输尿管镜进镜困难病例中的应用及获益[J]. 微创泌尿外科杂志, 2020, 9(1): 31-34.
MA Guibin, WU Junshen, TAO Zhixing, LI Liyu. Application and benefit of bladder micropuncture in patients with access difficulty of ureteroscopy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(1): 31-34.
