腹腔镜下颊黏膜补片修复复杂性输尿管狭窄8例报告  

Laparoscopic repair of complex ureteral stenosis with buccal mucosal patch:a report of 8 cases

作　　者：郑文华 何垚[1] 甘宇 李冰晟 张波[1] 刘龙飞[1] 陈湘[1] 陈志[1] ZHENG Wenhua;HE Yao;GAN Yu;LI Bingsheng;ZHANG Bo;LIU Longfei;CHEN Xiang;CHEN Zhi(Department of Urology,Xiangya Hospital,Central South University,Changsha,41o008,China)

机构地区：[1]中南大学湘雅医院泌尿外科,长沙410008

出　　处：《临床泌尿外科杂志》2025年第3期212-214,共3页Journal of Clinical Urology

基　　金：长沙市自然科学基金项目(No:kq2208379)。

摘　　要：目的:总结在腹腔镜下使用颊黏膜补片修复复杂性输尿管狭窄的相关经验,探讨其临床疗效。方法:回顾性分析2021年10月—2023年12月在中南大学湘雅医院使用自体颊黏膜补片治疗的8例复杂性输尿管狭窄患者的临床资料。结果:8例患者均顺利完成手术,平均手术时间238(164~345) min,术中平均出血68.75(50~200) mL,平均引流管留置时间5.13(4~6) d,术后均无并发症产生,术后随访3~4个月均无特殊临床症状,复查影像学检查包括CT、静脉肾盂造影或输尿管顺行造影提示7例患者输尿管通畅,肾积水情况较术前均有明显改善,1例患者输尿管仍有狭窄,输尿管镜下予以留置双J管引流。结论:使用自体颊黏膜补片治疗复杂性输尿管狭窄效果明显、术后并发症少,是一种安全、有效的方法。Objective:To summarize the relevant experience of using buccal mucosal patches to repair complex ureteral strictures under laparoscopy and explore its clinical efficacy.Methods:A retrospective analysis was conducted on the clinical data of 8 patients with complex ureteral stenosis treated with autologous buccal mucosal patches in Xiangya Hospital from October 2021 to December 2023.Results:All 8 patients successfully completed the surgery,with an average operation time of 238(164-345) minutes.The average intraoperative bleeding was 68.75(50-200) mL,and the average drainage tube retention time was 5.13(4-6) days.There were no postoperative complications.Patients showed no special clinical symptoms after being followed up for 3-4 months postoperatively.Postoperative imaging examinations,including CT,intravenous pyelography,or ureteral anterograde angiography,showed that 7 patients had unobstructed ureters and significant improvement in hydronephrosis compared to preoperative conditions.One patient still had ureteral stenosis,so a double J tube was retained for drainage under ureteroscopy.Conclusion:The use of autologous buccal mucosal patches for the treatment of complex ureteral strictures is a safe and effective method with significant results and few postoperative complications.

关 键 词：输尿管狭窄 颊黏膜 腹腔镜手术 输尿管成形术 

分 类 号：R693.2[医药卫生—泌尿科学]