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目的:探讨腹腔镜输尿管膀胱再植术治疗输尿管远端子宫内膜异位症的方法和临床疗效。方法:回顾性分析2011年4月至2015年9月收治13例输尿管远端子宫内膜异位症患者,年龄22~44岁;左侧8例,右侧5例;病变侧不同程度上尿路积水。腹腔镜下首先切除病变输尿管,然后进行输尿管膀胱再植术。结果:所有患者均顺利完成手术,围手术期无严重并发症。病理证实为输尿管子宫内膜异位症。随访4~53个月,平均18.5个月,无吻合口狭窄,病变侧上尿路积水和肾功能损害未加重。结论:通过腹腔镜输尿管膀胱再植术治疗输尿管远端子宫内膜异位症是一种创伤小、安全有效的手术方式。
Objective: To investigate the method and clinical efficacy of laparoscopic ureteral bladder replantation in the treatment of distal ureter endometriosis. Methods: From April 2011 to September 2015, 13 patients with distal ureteric endometriosis were retrospectively analyzed. They were 22 to 44 years old; 8 patients on the left and 5 patients on the right; patients with varying degrees of urine on the lesion side Road water. Laparoscopic removal of the first ureteral disease, and then ureter bladder replantation. Results: All patients successfully completed the operation, no serious complications during perioperative period. Pathology confirmed as ureteral endometriosis. All the patients were followed up for 4 ~ 53 months with an average of 18.5 months. There was no anastomotic stenosis. The upper urinary tract hydronephrosis and renal dysfunction were not aggravated. Conclusions: Laparoscopic ureteric bladder replantation is a safe, effective surgical approach to distal ureteral endometriosis.