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应用Acucise输尿管内切开术治疗移植输尿管狭窄:病例报告及文献复习

Treatment of transplant ureteral stricture with Acucise endoureterotomy: case report and literature review.

作者信息

Hsiao Hsi-Lin, Li Ching-Chia, Chang Tu-Hao, Wu Wen-Jeng, Chou Yii-Her, Shen Jung-Tsung, Jang Mei-Yu, Huang Chun-Hsiung

机构信息

Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2007 May;23(5):259-64. doi: 10.1016/S1607-551X(09)70407-3.

Abstract

We report a patient who was diagnosed with end-stage renal disease and who received renal transplantation in her right iliac fossa in 2003. After transplantation, right hydronephrosis was noted on abdominal ultrasonography and right lower ureteral stricture was diagnosed by antegrade pyelography. She received ureter internal stent insertion three times, but hydronephrosis and urinary tract infection recurred after the stent was removed. Therefore, Acucise endoureterotomy was used to treat the recurrent ureteral stricture. The patient was discharged on the second postoperative day and abdominal ultrasonography revealed no hydronephrosis during regular follow-up.

摘要

我们报告了一名被诊断为终末期肾病的患者,她于2003年在右髂窝接受了肾移植。移植后,腹部超声检查发现右肾积水,顺行肾盂造影诊断为右输尿管下段狭窄。她接受了三次输尿管内支架置入,但支架取出后肾积水和尿路感染复发。因此,采用Acucise腔内输尿管切开术治疗复发性输尿管狭窄。患者术后第二天出院,定期随访期间腹部超声检查未发现肾积水。

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本文引用的文献

1
Treatment of iatrogenic postoperative ureteral strictures with Acucise endoureterotomy.
Eur Urol. 2002 Oct;42(4):370-5. doi: 10.1016/s0302-2838(02)00322-6.
4
Complications of acucise endopyelotomy.经皮穿刺肾盂内切开术的并发症
J Endourol. 1998 Oct;12(5):433-6. doi: 10.1089/end.1998.12.433.
5
Treatment of transplant ureteral stenosis with Acucise endoureterotomy.
Transpl Int. 1998;11(4):316-9. doi: 10.1007/s001470050150.
8
Acucise endopyelotomy: assessment of long-term durability.Acucise肾盂内切开术:长期疗效评估
J Urol. 1996 Sep;156(3):1094-7; discussion 1097-8. doi: 10.1016/s0022-5347(01)65712-4.

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