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关于使用管状膀胱瓣进行输尿管膀胱吻合术的思考。

Reflections on ureterocystomeostomy using a tubular vesical flap.

作者信息

Mobilio G, Mazza G

出版信息

J Urol Nephrol (Paris). 1976 Oct-Nov;82(10-11):837-44.

PMID:1003598
Abstract

Authors cite 25 uretero-noecystostomy cases, carried out with the Boari flap technique, as well as their respective results several time after the operation. Authors underline both advantages and disadvantages, of presently most followed technics, i.e. Boari-Küss and Boari-Gil Vernet; furthermore, their experience suggests that vesico-ureteral reflux has never caused injuries to the upper urinary tract; the event a surgeon should be particularly afraid of, is stenosis of the uretero-vesical anastomosis. In order to have an easier anastomosis in case of dilated ureters, they also propose the Boari-Küss technique. while for normal-caliber ureters Boari-Gil Vernet technic is suggested.

摘要

作者引用了25例采用博阿利皮瓣技术进行的输尿管膀胱吻合术病例,以及术后多次的相应结果。作者强调了目前最常用的技术,即博阿利-屈斯和博阿利-吉尔·韦尔内技术的优缺点;此外,他们的经验表明,膀胱输尿管反流从未对上尿路造成损伤;外科医生尤其应担心的情况是输尿管膀胱吻合口狭窄。为了在输尿管扩张时更容易进行吻合,他们还推荐博阿利-屈斯技术。而对于管径正常的输尿管,建议采用博阿利-吉尔·韦尔内技术。

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