中国内镜杂志2017，Vol.23Issue(4)：102-105,4.DOI:10.3969/j.issn.1007-1989.2017.04.020
腹腔镜膀胱肌瓣代输尿管术治疗长段输尿管狭窄的初步体会
Clinical experience of bladder muscle flap replacement for long segment defect of ureter in laparoscopic surgery
周发友 1张书贤 1王允武 1彭伟 1徐炜 1章小毅 1沈亚军 1吴宜龙 1郑久德 1高攀1
作者信息
- 1. 皖南医学院第二附属医院 泌尿外科,安徽 芜湖 241000
- 折叠
摘要
Abstract
Objective To explore the effect of bladder muscle flaps for long segment defect of ureter middle-lower segment and reconstruction method in laparoscopic surgery. Methods Clinical data of 3 patients with long segment defect of ureter middle-lower segment, all of whom underwent laparoscopic surgery from May 2014 to April 2016 was retrospectively evaluated. There were 1 male and 2 females, in 2 cases with history of ureteroscopy holmium laser lithotripsy in ureter middle-lower segment, in 2 cases with history of repeated ESWL. Preoperative urinary tract ultrasound, CT and intravenous urography imaging showed severe hydronephrosis, ureter middle-upper segment severe hydroureter, ureter middle-lower segment severe stricture. Results Operations were successful in 3 cases. After reconstruction bladder muscle flaps average length of is 9.6 cm, The average operation time of 180 min, The average length of hospital stay for 10 d, Postoperative eighth weeks extracted the double J tube and used ureteroscopy showed anastomotic unobstructed, it may smooth Through 8.5 F ureteroscopy, and no infection and urinary leakage occurred, Follow-up ranged from 3 to 18 months. 3 cases hydronephrosis and hydroureter significantly reduce, ureter unobstructed, no narrow in ureter and muscle flap of tube joint, serum creatinine valueswere in normal range. Conclusions The bladder muscle flaps for the treatment of long segment defect of ureter middle-lower segment in laparoscopic surgery was a safe and effective therapy, but it must be accomplished by seasoned doctors.关键词
输尿管狭窄/腹腔镜/膀胱肌瓣Key words
ureteral stricture/laparoscopic/bladder muscle flaps分类
医药卫生引用本文复制引用
周发友,张书贤,王允武,彭伟,徐炜,章小毅,沈亚军,吴宜龙,郑久德,高攀..腹腔镜膀胱肌瓣代输尿管术治疗长段输尿管狭窄的初步体会[J].中国内镜杂志,2017,23(4):102-105,4.
