经尿道钬激光环切离断输尿管在上尿路肿瘤术中的应用  

Nephrourectomy combined with transurethral Holmium-laser excision of distal ureteral segment for treatment of renal pelvic and ureteral tumors

作　　者：张遂兵[1] 陈国强[2] 刘湘彬[2] 宋宇[2] 唐秀泉[2] 

机构地区：[1]南方医科大学广济医院泌尿外科,广东省东莞市523690 [2]黑龙江省大庆油田总医院泌尿外科,大庆市163000

出　　处：《中华腔镜泌尿外科杂志（电子版）》2009年第6期31-33,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨应用经尿道钬激光离断输尿管的手术方式在上尿路肿瘤根治术中的应用价值。方法经尿道采用钬激光环切输尿管口，离断输尿管，肾输尿管全长切除治疗肾盂癌4例。结果对4例肾盂癌采用本方法处理输尿管后，输尿管全段完整切除，平均手术时间8min，术后无出血、感染、尿外渗。随访1-13个月，平均8个月，未见复发。结论对于上尿路肿瘤需行输尿管全段切除者，本方法既能在术中进一步检查膀胱内情况并可作相应处理，又可减少手术创伤，是一种良好的微创术式。Objective To improve surgical technique in the treatment of renal pelvic and ureteral tu- mors. Methods 4 patients were enrolled the study and analysed. All patients underwent transurethral excision of bladder cuff and retroperitoneal nephroureterectomy. Results All patients gained one-stage recovery. The average operation-time is eight minute. There were no complications such as bleeding, infection and urine leakage. All patients were followed up for 1 to 13 months （average 8 months）, and no recurrence were observed. Conclutions transurethral Holmium-laser is feasibale and safe for treatment of renal pelvic and ureteral tumors.

关 键 词：上尿路 肿瘤 钬激光 尿道 

分 类 号：R737.1[医药卫生—肿瘤] R445.1[医药卫生—临床医学]