去管化阑尾输尿管成形术在复杂输尿管狭窄治疗中的应用  

Application of detubularized appendicoureteroplasty in the treatment of complex ureteral stricture

作　　者：杨晓春[1] 魏宏彦 李海洋[1] 张向向 罗能钦[1] 刘扬 郭利君[1] 年文博 Yang Xiaochun;Wei Hongyan;Li Haiyang;Zhang Xiangxiang;Luo Nengqin;Liu Yang;Guo Lijun;Nian Wenbo(Department of Urology,Gansu Provincial Peoples Hospital,Lanzhou 730000,China;Department of Urology,Qingshui County Peoples Hospital,Qingshui 741499,China;Department of Urology,theFirst PeoplesHospital of Huating,Pingliang744100,China)

机构地区：[1]甘肃省人民医院泌尿外科,730000 [2]甘肃清水县人民医院泌尿外科,741499 [3]甘肃华亭市第一人民医院泌尿外科,744100

出　　处：《中华腔镜泌尿外科杂志（电子版）》2022年第6期559-562,共4页Chinese Journal of Endourology(Electronic Edition)

基　　金：甘肃省青年科技基金计划(20JR5RA319);甘肃省自然科学基金(21JR7RA617)。

摘　　要：目的探讨阑尾在复杂输尿管狭窄治疗中的应用,总结去管化阑尾瓣在复杂输尿管狭窄治疗中的经验。方法2019年1月至2020年10月收治的2例长段复杂输尿管狭窄患者分别在全身麻醉下行腹腔镜下和开放去管化阑尾瓣加盖输尿管成形术。记录患者术中出血量、手术时间、住院时间及术后恢复情况,分析总结手术效果。结果手术均顺利完成,时间分别为125min和95min,术后住院时间分别为8d和11d。术后彩超和静脉肾盂造影检查示右肾积水减轻,患者不适症状消失。结论去管化阑尾瓣加盖输尿管成形术治疗复杂性输尿管狭窄,手术相对简单,并发症少,值得推广。Objective To investigate the application of appendix in the treatment of complex ureteral stricture,and summarize the experiences and techniques of detubularized appendiceal flap in the treatment of complex ureteral stricture.MethodsFrom January 2019 to October 2020,2 patients with long-segment complex ureteral stricture underwent laparoscopic and open detubularized appendiceal flap capping ureteroplasty under general anesthesia.Intraoperative blood loss,operation time,hospital stay and postoperative recovery were recorded,and the surgical results were analyzed and summarized.ResultsThe operations were both successfully completed,the time was 125 min and 95 min,and the postoperative hospital stay was 8 days and 11 days,respectively.Postoperative color Doppler ultrasound and IVP examination showed that right hydronephrosis was relieved,and the patients'discomfort symptoms disappeared.ConclusionDetubularized appendiceal flap capping ureteroplasty for complex ureteral stricture is relatively simple and has few complications,which is worth popularizing.

关 键 词：去管化阑尾瓣 加盖修复 输尿管成形 输尿管狭窄 

分 类 号：R699.4[医药卫生—泌尿科学]