腹腔镜子宫切除输尿管断裂即刻膀胱再植术  

Immediate Ureterovesical Reimplantation After Ureteral Rupture During Laparoscopic Hysterectomy

作　　者：陆义芹[1,2] 吴晓梅[1] 袁涛[1] 刘燕青[1] 吴振起[2] 高文锋[2] 吴雅冰[2] 李琰峰[2] 马雪涛[2] 闫永吉[2,3] LU Yi-qin;WU Xiao-mei;YUAN Tao;LIU Yan-qing;WU Zhen-qi;GAO Wen-feng;WU Ya-bin;LI Yan-feng;MA Xue-tao;YAN Yong-ji(Dept. of Gynecology,The First People’s Hospital of Yunnan Province,Kunming Yunnan 650032;Dept. of Urology,Dongzhimen Hospital of Beijing University of Chinese Medicine,Beijing 100853;Dept.of Urolgoy, The 2th Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650101,China)

机构地区：[1]云南省第一人民医院妇科,云南昆明650030 [2]北京中医药大学东直门医院泌尿外科,北京100700 [3]昆明医科大学第二附属医院泌尿外科,云南昆明650101

出　　处：《昆明医科大学学报》2016年第6期86-88,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81360126)

摘　　要：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 effect of immediate ureterovesical reimplantation after ureteral rupture during laparoscopic hysterectomy. Methods From August 2010 to December 2015, 5 cases of ureteral rupture during the operation of laparoscopic hysterectomy were treated with immediate ureterovesical reimplantation under laparoscopy. Results All operations were successfully performed without transversion to open surgery. No patients with urinary leakage occurred. The mean follow-up were 21 months(range 3-60 months) . No cases with ureteral stricture were observed. Slight urine reflux was found in two patients,of whom obvious hydronephrosis and renal damage were not found. Conclusion Immediate ureterovesical reimplantation under laparoscopy is a feasible,safe and minimal invasive method for treatment of ureteral ruputure during laparoscopic hysterectomy.

关 键 词：腹腔镜 输尿管膀胱再植术 子宫切除术 输尿管断裂 

分 类 号：R711.7[医药卫生—妇产科学] R693.5[医药卫生—临床医学]