Sutherland R S, Pfister R R, Koyle M A
Department of Urology, Fitzsimons Army Medical Center, Aurora, Colorado.
J Urol. 1992 Nov;148(5):1490-2. doi: 10.1016/s0022-5347(17)36946-x.
A case of an adolescent who sustained necrosis of the entire ureter after attempted endopyelotomy for congenital ureteropelvic junction obstruction is presented. Successful reconstruction of a neoureter was performed easily with the Boari bladder flap coupled with nephropexy and a psoas hitch. Although repair of upper ureteral injuries with the Boari flap has been described in the literature, to our knowledge its use in the pediatric population has not. Our case exemplifies how the Boari flap repair is particularly suitable in children for bridging significant segments of injured ureters, not just the lower third.
本文报告一例青少年患者，因先天性肾盂输尿管连接部梗阻行肾盂内切开术后发生全输尿管坏死。采用Boari膀胱瓣联合肾固定术和腰大肌悬吊术，成功地轻松重建了一条新输尿管。虽然文献中已有用Boari瓣修复上段输尿管损伤的描述，但据我们所知，其在儿科患者中的应用尚未见报道。我们的病例表明，Boari瓣修复术特别适合于儿童，用于桥接受损输尿管的较大节段，而不仅仅是下三分之一段。
