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目的总结48例肾盂输尿管癌根治手术经验,探讨钬激光在肾盂输尿管癌根治术中末端输尿管切除中的应用。方法 48例患者中,20例末段输尿管行开放手术,28例末端输尿管行经尿道钬激光输尿管口袖套状切除术。结果 20例开放手术中1例出现下腔静脉损伤,2例损伤腹膜,余45例均未出现严重并发症。结论经尿道钬激光袖套状切除输尿管末端,操作方便,手术效果好,是处理下段输尿管的较好方式。
Objective To summarize the experience of 48 cases of ureteropelvic cancer radical operation and investigate the application of holmium laser in the treatment of ureteropelvic radical ureteropelvic radical resection. Methods 48 cases of patients, 20 cases of distal ureteral open surgery, 28 cases of the terminal ureter via the urethral holmium laser ureter mouth cuff resection. Results In 20 cases of open surgery, 1 case showed inferior vena cava injury and 2 cases injured peritoneum. No serious complications were found in the other 45 cases. Conclusion Transurethral holmium laser cuff-like removal of the ureter end, easy to operate, the effect is good, is the better way to deal with the lower ureter.