论文部分内容阅读
目的探讨腹腔镜全膀胱切除回肠代膀胱术后输尿管支架管的处理方法。方法对65例回肠代膀胱术后的患者,根据具体情况,分别采用直接拔除、膀胱镜下拔除或经皮肾镜下拔除的方法拔除输尿管支架管(单J管)。结果65例患者均顺利拔除单J管,其中单J管已自行脱落1例1侧,门诊顺利拔除61例122侧,膀胱镜下拔除3例5侧,经皮肾镜下拔除2例2侧,术中术后均未出现明显并发症。结论结合使用膀胱镜、经皮肾镜等手段,能顺利处理回肠代膀胱术后单J管的移位问题,减少患者痛苦。
Objective To investigate the method of laparoscopic total cystectomy for ileal ureter after ureteral stent tube treatment. Methods 65 cases of ileal neobladder patients, according to the specific circumstances, were removed by direct removal, cystoscopic removal or percutaneous nephrolithotomy removal of ureteral stent (single J tube). Results 65 patients were successfully removed a single J tube, in which a single J tube has been off in 1 case 1 side, out of 61 patients successfully removed 122 cases of cystoscopic removal of 3 cases in 5 sides, 2 cases of percutaneous nephrolithotomy 2 cases No obvious complications occurred after surgery. Conclusions The combined use of cystoscopy and percutaneous nephroscopy can successfully handle the displacement of single J tube after ileal neobladder surgery and reduce the pain of patients.