经腹腔路径腹腔镜下输尿管膀胱角悬提治疗输尿管中下段长段狭窄的疗效分析（附10例报告）

发布时间：2018-04-17 12:45

本文选题：腹腔镜 + 膀胱角悬提吻合术　；参考：《山东大学》2014年硕士论文

【摘要】：目的探讨经腹腔路径腹腔镜输尿管膀胱角悬提吻合术治疗输尿管中下段长段狭窄的疗效。方法回顾性分析我中心2008年9月至2013年5月收治的10例输尿管中下段长段狭窄患者的临床资料,其中男6例,女4例,年龄14～65岁,平均年龄40岁,狭窄段均位于输尿管中下段,狭窄段长度4～6cm,平均长度5cm,10例患者均行腹腔镜输尿管膀胱角悬提吻合术,术后输尿管内留置双J管2～3个月。结果10例手术均获得成功。手术时间120～180min,平均126min；术中出血30～150ml,平均64ml；术后住院时间7～14d,平均9.4d；术后2～3个月行膀胱镜检查,拔除输尿管内双J管,术后6个月及12个月复查CT、泌尿系B超提示输尿管通畅,肾积水较术前明显改善。结论腹腔镜下输尿管膀胱角悬提吻合术治疗输尿管中下段长段狭窄效果确切,具有创伤小、恢复快、住院时间短等优点,是一种有效的微创治疗方法。
[Abstract]:Objective to evaluate the efficacy of laparoscopic laparoscopic ureteral bladder horn suspension anastomosis in the treatment of long segment stenosis of the middle and lower ureter.Methods the clinical data of 10 patients with long ureteral stenosis from September 2008 to May 2013 were retrospectively analyzed, including 6 males and 4 females, aged 14 to 65 years, with an average age of 40 years. The stenosis segment was located in the middle and lower ureter.The length of stenosis segment was 4 ~ 6 cm, and the average length was 5 cm. All 10 patients underwent laparoscopic ureteral bladder horn suspension anastomosis. After operation, double J tubes were placed in the ureter for 2 ~ 3 months.Results all the 10 cases were successful.The operative time was 120 ~ 180 min (mean 126 min), intraoperative bleeding was 30 ~ 150 ml (mean 64 ml), postoperative hospitalization time was 7 ~ 14 d (mean 9.4 d), cystoscopy was performed 2 ~ 3 months after operation, double J catheter was removed, and CT was reexamined 6 and 12 months after operation.Hydronephrosis was significantly improved compared with preoperative.Conclusion Laparoscopic ureteral bladder horn suspension anastomosis is an effective and minimally invasive method for the treatment of long segment ureteral stricture with small trauma, quick recovery and short hospital stay.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R699.4

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