Androulakakis P A, Michael V, Aghioutantis C, Giannakis C
Department of Paediatric Urology, Aghia Sophia Children's Hospital, Athens, Greece.
Eur Urol. 1991;19(4):308-11. doi: 10.1159/000473648.
A simple operation for the management of simple, i.e. intravesical, ureteroceles, which we have named 'ostioplasty', is presented. After unroofing the ureterocele, the retracted, gaping ureteric ostium is advanced and fixed medially to the center of the bladder trigone with three 5-0 polyglycolic acid sutures. The exposed intravesical ureter is covered with a new mucosal layer formed from the mobilized lateral edges of the unroofed ureterocele, sutured together over the ureter with 5-0 polyglycolic acid. Ostioplasty has been used in 5 patients so far with excellent anatomic and functional results. It is a simple and valuable surgical option to standard ureterovesical reimplantation after excision of a simple ureterocele, provided that the ureterocele is of moderate size and the bladder trigone retains good muscular support.
本文介绍了一种用于治疗单纯性（即膀胱内）输尿管囊肿的简单手术，我们将其命名为“造口成形术”。在切除输尿管囊肿顶部后，将回缩、张开的输尿管口推进并通过三根5-0聚乙醇酸缝线向内侧固定于膀胱三角区中心。暴露的膀胱内输尿管由切除顶部的输尿管囊肿活动的外侧边缘形成的新黏膜层覆盖，用5-0聚乙醇酸缝线在输尿管上方缝合在一起。到目前为止，造口成形术已应用于5例患者，取得了优异的解剖和功能效果。如果输尿管囊肿大小适中且膀胱三角区保持良好的肌肉支撑，造口成形术是单纯输尿管囊肿切除术后标准输尿管膀胱再植术的一种简单且有价值的手术选择。
