术后输尿管狭窄再次手术16例诊治分析  

Diagnosis and Treatment of Postoperative Ureteral Stricture（report of 16 cases）

作　　者：沈鸿革[1] 王世先[1] 郭昭建[1] 范先明[1] 张遵俊[1] 林子滨[1] 林剑峰[1] 郑健忠[1] 涂建平[1] 叶振扬[1] 

机构地区：[1]厦门市第三医院泌尿外科,厦门361000

出　　处：《世界最新医学信息文摘》2012年第4期12-14,共3页World Latest Medicine Information Electronic Version

摘　　要：目的探讨手术后输尿管狭窄再次手术的诊治体会。方法收集我们所遇到的16例病例，其中12例狭窄长度小于2厘米的采用顺行或逆行腔内技术进行治疗，另4例狭窄长度〉2厘米的直接行狭窄段切除＋再吻合术。结果共随访8～74个月，其中狭窄段〈2厘米的12例病例中，9例恢复良好，3例再次狭窄并且行狭窄段切除＋再吻合术。另外4例狭窄长度〉2厘米的及3例二次手术的在行狭窄段切除＋再吻合术后输尿管通畅。结论腔内行狭窄段扩张术对于狭窄段小于1厘米的病例效果良好，但是对于狭窄段介于l^2厘米之间的效果不确切，对于狭窄段〉2厘米的，行狭窄段切除＋再吻合效果良好。Objective To explore the diagnosis and treatment of postoperative ureteral stricture（PUS）.Methods Of 16 cases,12 cases whose PUS was less than 2 cm were treated by anterograde and retrograde endourologic tech- niques.The other 4 cases whose stricture was more than 2 cm were treated by resection and suture. Results Af- ter 8-74 months＇ follow-up, of the 12 cases whose PUS was less than 2 cm,9 cases showed good results,as well as 3 cases suffered from recurrent stricture and received resection and suture. The other 4 cases who was resected and sutured and the 3cases who was reoperated remained smooth flow. Conclusion： Dilatation of endourologic techniques is an effective approach for the treatment of the PUS which is less than lcm and isn＇ t confirmed for the PUS between 1 and 2 cm. Resection and suture is fit for the PUS more than 2 cm.

关 键 词：术后输尿管狭窄 诊断 再手术 

分 类 号：R693.2[医药卫生—泌尿科学]