论文部分内容阅读
目的 探讨腹腔镜巨输尿管成形术方法 ,评估该术式的临床治疗效果。 方法 先天性梗阻性巨输尿管患者 6例 ,行腹腔镜巨输尿管成形术。腹腔镜下先游离扩张输尿管 ,在进入膀胱处切断 ,从皮肤戳口将输尿管拖出 ,进行裁剪、置入双J管 ,再将输尿管经戳口送入腹腔内 ,腹腔镜下吻合输尿管与膀胱。 结果 手术时间 2～ 4h ,出血 2 0～ 35ml,无并发症。术后 3个月拔除双J管 ,无发热及腰痛。术后随访 6个月至 2年 ,6例成形输尿管均无梗阻。 结论 结果表明 ,腹腔镜巨输尿管成形术治疗巨输尿管症损伤小、效果好。
Objective To investigate the method of laparoscopic giant ureteroplasty to evaluate the clinical effect of this procedure. Methods Six patients with congenital obstructive giant ureter were treated with laparoscopic giant ureteroplasty. Laparoscopic first free expansion of the ureter, cut off into the bladder at the poo from the skin will be pulled out of the ureter for cutting, double J tube, ureter and then into the abdominal cavity by lancing, laparoscopic anastomosis ureter and bladder . Results The operation time was 2 ~ 4h, bleeding 20 ~ 35ml, no complications. Three months after the removal of double J tube, no fever and low back pain. All cases were followed up for 6 months to 2 years. No obstruction was found in 6 cases of ureter. Conclusions The results show that laparoscopic giant ureteroplasty for the treatment of giant ureteral injury with little effect.