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目的 :介绍两种输尿管膀胱吻合的手术方法。方法 :采用膀胱角输尿管吻合术 (9例 )和膀胱壁瓣输尿管吻合术 (7例 )治疗输尿管下段长段狭窄或缺损 16例 ,13例为盆腔输尿管下段手术或妇产科手术后继发狭窄的切除后吻合 ,3例为下段输尿管病变切除后缺损修复。结果 :所有患者均吻合成功 ,尿路梗阻消除 ,未发生新的再狭窄。结论 :该两种术式适用于各种原因引起的盆腔段输尿管长段缺损或狭窄 ,可修复膀胱输尿管缺损距离在 3～ 10cm的患者。
Objective: To introduce two kinds of ureteral bladder anastomosis surgical methods. Methods: Sixteen cases of long ureteral stenosis or defect were treated with bladder anastomosis (n = 9) and bladder flap ureter anastomosis (n = 7). Thirteen cases were followed by pelvic ureter surgery or obstetrics and gynecology surgery Anastomosis after resection, 3 cases of lower ureteral lesions resection defect repair. RESULTS: All patients were anastomosed successfully, urinary obstruction was eliminated and no new restenosis occurred. Conclusion: The two surgical procedures are suitable for various segments of the pelvic ureter long segment defects or stenosis, and can repair patients with vesicoureteral defects in the range of 3 ~ 10cm.