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输尿管修整:楔形切除术与内折术的比较

Ureteral tailoring: a comparison of wedge resection with infolding.

作者信息

Parrott T S, Woodard J R, Wolpert J J

机构信息

Scottish Rite Children's Medical Center, Henrietta Egleston Hospital for Children, Atlanta, Georgia.

出版信息

J Urol. 1990 Aug;144(2 Pt 1):328-9. doi: 10.1016/s0022-5347(17)39445-4.

DOI:10.1016/s0022-5347(17)39445-4
PMID:2374199
Abstract

A retrospective analysis of 44 consecutive pediatric ureteral reimplantations in 42 patients (51 ureters reimplanted) is presented, in which the ureter was tapered by infolding or wedge resection. Few postoperative complications occurred and the results were essentially comparable for the 2 groups, although slightly more postoperative ureteral obstruction occurred in the wedge resection group. Over-all success rate (no postoperative reflux and no obstruction) was 95% for the infolded group and 90% for wedge resection group. Stent time and hospital stay were significantly less for the infolded group.

摘要

对42例患者(共51条输尿管行再植术)的44例连续性小儿输尿管再植术进行回顾性分析,术中通过内折或楔形切除术使输尿管变细。术后并发症较少,两组结果基本可比,尽管楔形切除组术后输尿管梗阻略多。内折组总体成功率(无术后反流和梗阻)为95%,楔形切除组为90%。内折组的支架留置时间和住院时间明显更短。

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