本文選題：腹腔鏡 + 膀胱角懸提吻合術(shù)��； 參考：《山東大學(xué)》2014年碩士論文

【摘要】：目的探討經(jīng)腹腔路徑腹腔鏡輸尿管膀胱角懸提吻合術(shù)治療輸尿管中下段長(zhǎng)段狹窄的療效。 方法回顧性分析我中心2008年9月至2013年5月收治的10例輸尿管中下段長(zhǎng)段狹窄患者的臨床資料,其中男6例,女4例,年齡14～65歲,平均年齡40歲,狹窄段均位于輸尿管中下段,狹窄段長(zhǎng)度4～6cm,平均長(zhǎng)度5cm,10例患者均行腹腔鏡輸尿管膀胱角懸提吻合術(shù),術(shù)后輸尿管內(nèi)留置雙J管2～3個(gè)月。 結(jié)果10例手術(shù)均獲得成功。手術(shù)時(shí)間120～180min,平均126min；術(shù)中出血30～150ml,平均64ml；術(shù)后住院時(shí)間7～14d,平均9.4d；術(shù)后2～3個(gè)月行膀胱鏡檢查,拔除輸尿管內(nèi)雙J管,術(shù)后6個(gè)月及12個(gè)月復(fù)查CT、泌尿系B超提示輸尿管通暢,腎積水較術(shù)前明顯改善。 結(jié)論腹腔鏡下輸尿管膀胱角懸提吻合術(shù)治療輸尿管中下段長(zhǎng)段狹窄效果確切,具有創(chuàng)傷小、恢復(fù)快、住院時(shí)間短等優(yōu)點(diǎn),是一種有效的微創(chuàng)治療方法。
[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.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R699.4

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