使用氰基丙烯酸酯胶对慢性输尿管皮肤瘘进行内镜治疗。
Endoscopic management of a chronic ureterocutaneous fistula using cyanoacrylic glue.
作者信息
Omar Mohamed, Abdulwahab-Ahmed Abdullah, El Mahdey Alla El Deen
机构信息
Department of Urology, Menofya University, Egypt.
出版信息
Cent European J Urol. 2014;67(4):430-2. doi: 10.5173/ceju.2014.04.art25. Epub 2014 Dec 5.
Ureterocutaneous fistula is a rare complication of renal surgery. Cyanoacrylate glue is a tissue adhesive, used primarily for the endoscopic control of bleeding from gastric varices. A female aged 33 presented to our facility with a ureterocutaneous fistula after surgery. We used a retrograde endoscopic approach for the instillation of 2 ml of sealant into the ureteral lumen to seal the ureter and fistulous tract. The fistulous opening healed spontaneously a week after the procedure, and the patient remained dry and symptom free for 5 months following the procedure. Endoscopic delivery of cyanoacrylate sealant was a feasible and effective way in treating a ureterocutaneous fistula in our patient.
输尿管皮肤瘘是肾脏手术中一种罕见的并发症。氰基丙烯酸酯胶是一种组织粘合剂，主要用于内镜下控制胃静脉曲张出血。一名33岁女性术后因输尿管皮肤瘘前来我院就诊。我们采用逆行内镜方法，向输尿管腔内注入2毫升密封剂以封闭输尿管和瘘管。术后一周，瘘口自行愈合，术后5个月患者保持干爽且无症状。内镜下注入氰基丙烯酸酯密封剂是治疗我们这位患者输尿管皮肤瘘的一种可行且有效的方法。
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