昆明医科大学学报Issue(12)：74-76,3.
输尿管软镜处理Bricker术后吻合口狭窄
Application of Flexible Ureteroscope in the Treatment of Ureterointestinal Anastomotic Strictures in Patients with Bricker Urinary Diversion
柯坤彬 1龙江 1杨筱芸 2官润云 1李颢 1申吉泓1
作者信息
- 1. 昆明医科大学第一附属医院泌尿外科，云南昆明 650032
- 2. 云南省第一人民医院超声科，云南昆明 650034
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy and safety of application of anterograde flexible ureteroscope in the treatment of ureterointestinal anastomotic strictures in patients after Bricker urinary diversion. Methods From March 2009 to July 2012, 6 patients with ureterointestinal anastomotic strictures after Bricker procedure were enrolled in this study. The average age of the patients was (61 ±7) years old. The first clinical presentation was averagely (6.3 ±2.5) months after the Bricker procedure. There were 4 cases with left side strictures and 2 cases with right side ones. The urinary tract ultrasound, CT, KUB+IVP and antegrade urography were carried out to identify the obstructive portion. The mean length of stricture was 0.9cm (0.4~2.5) . First, all patients underwent percutaneous nephrostomy (PCN), then inside incision by Holmium:YAG laser under anterograde flexible ureteroscopy and lithotripsy (with calculi) . The F6 double J ureteral stent was indwelled for 12 weeks. KUB+IVP was performed after removal of double J ureteral stents. Results The mean operative time was (53±8) min. The mean hospital stay was (5.5±2) days. The blood loss was 3~6 mL. The average follow-up was 18 months (6~30) . No recurrence was found in 5 patients. One case had recurrent stricture after the first procedure, which was successfully managed by the flexible ureteroscopy again and replacing double J ureteral stent every 12 months. Conclusion The inside incision by anterograde flexible ureteroscopic Holmium:YAG laser is safe and effective for ureterointestinal anastomotic strictures in patients after Bricker urinary diversion, with less complications.关键词
输尿管软镜/钬激光/Bricker术/输尿管- 肠吻合口狭窄Key words
Anterograde flexible ureteroscope/Holmium/YAG laser/Bricker urinary diversion/Ureterointestinal anastomotic stricture分类
医药卫生引用本文复制引用
柯坤彬,龙江,杨筱芸,官润云,李颢,申吉泓..输尿管软镜处理Bricker术后吻合口狭窄[J].昆明医科大学学报,2013,(12):74-76,3.
