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目的探讨腹腔镜子宫切除输尿管断裂后立即进行膀胱再植的可行性和临床效果.方法 2010年8月至2015年12月,通过腹腔镜下即刻输尿管膀胱再植术治疗腹腔镜子宫切除术中输尿管断裂5例.结果所有患者均顺利完成手术,无中转开放手术,术后无尿漏,无严重并发症.平均随访21个月(3~60个月),无吻合口狭窄;2例出现轻度输尿管返流,无明显肾积水和肾功能损害.结论腹腔镜子宫切除手术输尿管断裂后于腔镜下即刻进行膀胱再植术具有创伤小、恢复快,效果确切,减少医疗纠纷等优点,值得推广.
Objective To investigate the feasibility and clinical efficacy of laparoscopic hysterectomy immediately after laparoscopic ureterrectomy.Methods From August 2010 to December 2015, laparoscopic ureteric hysterectomy was used to treat ureter 5 cases were ruptured.Results All the patients were successfully completed the operation, no transfer of open surgery, no postoperative urine leakage, no serious complications.A average of 21 months (3 to 60 months), no anastomotic stenosis; 2 cases of light Degrees of ureteral reflux, no significant hydronephrosis and renal dysfunction.Conclusion Laparoscopic hysterectomy ureter immediately after endoscopic resection of the bladder with less trauma, rapid recovery, the exact effect and reduce medical disputes and other advantages, Worth promoting.