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输尿管狭窄腔内治疗628例疗效分析

代林勇 鄢俊安 郑霁 支轶 邓国贤 李前伟 王浩宇 李为兵 周占松

局解手术学杂志2016,Vol.25Issue(9):669-672,4.
局解手术学杂志2016,Vol.25Issue(9):669-672,4.DOI:10.11659/jjssx.12E015153

输尿管狭窄腔内治疗628例疗效分析

Endovascular treatment of ureteral stenosis:a report of 628 cases

代林勇 1鄢俊安 1郑霁 1支轶 1邓国贤 1李前伟 1王浩宇 1李为兵 1周占松1

作者信息

  • 1. 第三军医大学西南医院泌尿外科,重庆400038
  • 折叠

摘要

Abstract

Objective To summarise and analyze the clinical effecacy of endovascular treatment(internal holmium laser incision,bal-loon dilation,ureter dilator,rigid ureter dilation)for ureteral stricture.Methods The clinical data of 628 patients from January 2010 to Jan-uary 2015 in our hospital were analyzed.The relevant operation indicators,postoperative complications and recovery condition were recorded and analyzed.Results The operation time was 5.5 to 29 minutes,with average time of 16.5 minutes,no ureteral avulsion,ureteral fragmen-tation and massive haemorrhage happened.All patients were followed up for 6 to 36 months,591 cases(94.1%)were cured,29 cases (4.6%)of postoperative stricture recurrence received endovascular treatment again,8 patients(1.3%)conversion to open ureterolithotomy. Conclusion Endovascular treatment of ureteral stricture is diversified within holmium laser incision,it has the advantages of shorter opera-tion time,fewer complications,less trauma,repeatability and so on,which is an effective and safe treatment method.

关键词

输尿管梗阻/内窥镜术/腔内治疗/输尿管狭窄

Key words

ureteral obstruction/endoscopy/endovascular treatment/ureterostenosis

分类

医药卫生

引用本文复制引用

代林勇,鄢俊安,郑霁,支轶,邓国贤,李前伟,王浩宇,李为兵,周占松..输尿管狭窄腔内治疗628例疗效分析[J].局解手术学杂志,2016,25(9):669-672,4.

基金项目

重庆市科技攻关计划项目 ()

局解手术学杂志

OACSTPCD

1672-5042

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