Guliev B G, Komyakov B K, Avazkhanov Zh P, Povago I A
Department of urology of North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.
Center of Urology with robot-assisted surgery of City Mariinsky hospital, Saint Petersburg, Russia.
Urologiia. 2023 Mar(1):92-100.
Full-text articles published in peer-reviewed journals dedicated to the results of onlay ureteroplasty using various materials, as well as monographs on surgical treatment of long ureteral strictures are presented in the article. Over the past decade, onlay technique for the treatment of long ureteral strictures using flaps or grafts on a vascular pedicle have been introduced. Experimental data on the results of onlay ureteroplasty using autologous vein or bladder mucosa, as well as the small intestine submucosa (SIS) have been published in the literature. Due to the availability and good survival rate, buccal and tongue mucosal flaps are widely recognized as the optimal graft for onlay ureteroplasty. There are also studies on the results of ureteroplasty using SIS or appendix graft onlay for the upper and middle ureteral strictures. A use of tissue-engineered flaps for ureteroplasty remains contradictory. Further research in this direction may allow to obtain optimal grafts for onlay ureteroplasty. However, oral mucosa or appendix are predominant materials, which are used for onlay ureteroplasty.
本文介绍了发表在同行评审期刊上的关于使用各种材料进行覆盖式输尿管成形术结果的全文文章，以及关于长段输尿管狭窄手术治疗的专著。在过去十年中，已经引入了使用带血管蒂的皮瓣或移植物治疗长段输尿管狭窄的覆盖技术。关于使用自体静脉、膀胱黏膜以及小肠黏膜下层（SIS）进行覆盖式输尿管成形术结果的实验数据已在文献中发表。由于其可用性和良好的存活率，颊黏膜和舌黏膜瓣被广泛认为是覆盖式输尿管成形术的最佳移植物。也有关于使用SIS或阑尾移植物覆盖治疗上中段输尿管狭窄的输尿管成形术结果的研究。使用组织工程皮瓣进行输尿管成形术仍存在争议。在这个方向上的进一步研究可能会获得用于覆盖式输尿管成形术的最佳移植物。然而，口腔黏膜或阑尾是用于覆盖式输尿管成形术的主要材料。
