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使用波阿里皮瓣和腰大肌悬吊技术重建输尿管近端受损患者的输尿管：病例报告

Reconstruction of the Ureter Using the Boari Flap and Psoas Hitch Techniques in a Patient With Damage to the Proximal Part of the Ureter: A Case Report.

作者信息

Stępka Jan T, Konopka Maciej, Olszewski Michał, Woźna Julia, Kosiński Maciej, Szymajda Wiktor, Deja Tomasz

机构信息

Department of Urology, Poznan University of Medical Sciences, Poznan, POL.

Department of Urology, Ministry of Internal Affairs Hospital Poznan, Poznan, POL.

出版信息

Cureus. 2024 Aug 9;16(8):e66522. doi: 10.7759/cureus.66522. eCollection 2024 Aug.

DOI:10.7759/cureus.66522
PMID:39246925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380922/
Abstract

Although the Boari flap technique is commonly described in the literature as a method for primarily distal and middle ureteral injuries, it can also be used for reconstructing the proximal segment of the ureter. In this case study, we present a patient who underwent gynecological surgery with subsequent damage to the proximal ureter, and who underwent ureteral reconstruction using methods such as kidney mobilization, Boari flap, and psoas hitch. The postoperative period was uncomplicated, and after a six-month follow-up, the reconstructed ureter is functioning well, and the patient is in good health.

摘要

尽管文献中通常将博阿利皮瓣技术描述为主要用于治疗远端和中段输尿管损伤的方法，但它也可用于重建输尿管近端。在本病例研究中，我们介绍了一名患者，该患者接受妇科手术后近端输尿管受损，并采用了诸如肾脏游离、博阿利皮瓣和腰大肌悬吊等方法进行输尿管重建。术后恢复顺利，经过六个月的随访，重建的输尿管功能良好，患者健康状况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/073bcf8dc5ac/cureus-0016-00000066522-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/cba5e8cd777b/cureus-0016-00000066522-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/ae1f6cad97ed/cureus-0016-00000066522-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/5d736ab8eb53/cureus-0016-00000066522-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/073bcf8dc5ac/cureus-0016-00000066522-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/cba5e8cd777b/cureus-0016-00000066522-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/ae1f6cad97ed/cureus-0016-00000066522-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/5d736ab8eb53/cureus-0016-00000066522-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/11380922/073bcf8dc5ac/cureus-0016-00000066522-i04.jpg

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Reconstruction of the Ureter Using the Boari Flap and Psoas Hitch Techniques in a Patient With Damage to the Proximal Part of the Ureter: A Case Report.使用波阿里皮瓣和腰大肌悬吊技术重建输尿管近端受损患者的输尿管：病例报告
Cureus. 2024 Aug 9;16(8):e66522. doi: 10.7759/cureus.66522. eCollection 2024 Aug.
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本文引用的文献

1
Long-term results of extended Boari flap technique for management of complete ureteral avulsion: A case report.延长Boari皮瓣技术治疗完全性输尿管撕脱的长期效果：病例报告
World J Clin Cases. 2022 Dec 6;10(34):12610-12616. doi: 10.12998/wjcc.v10.i34.12610.
2
Ureteral Reimplantation, Psoas Hitch, and Boari Flap.输尿管再植术、腰大肌悬带术和 Boari 皮瓣。
J Endourol. 2020 May;34(S1):S25-S30. doi: 10.1089/end.2018.0750.
3
Adult iatrogenic ureteral injury and stricture-incidence and treatment strategies.成人医源性输尿管损伤与狭窄——发病率及治疗策略
Asian J Urol. 2018 Apr;5(2):101-106. doi: 10.1016/j.ajur.2018.02.003. Epub 2018 Feb 17.
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Strategies for open reconstruction of upper ureteral strictures.上尿路狭窄的开放重建策略。
Urol Clin North Am. 2013 Aug;40(3):351-61. doi: 10.1016/j.ucl.2013.04.005. Epub 2013 Jun 18.
5
Psoas hitch and Boari flap ureteroneocystostomy.腰大肌悬吊术和鲍里皮瓣输尿管膀胱吻合术。
BJU Int. 2013 Jul;112(1):137-55. doi: 10.1111/bju.12103.
6
Outcomes of distal ureteral reconstruction through reimplantation with psoas hitch, Boari flap, or ureteroneocystostomy for benign or malignant ureteral obstruction or injury.对于良性或恶性输尿管梗阻或损伤，通过腰大肌悬带固定术、Boari 皮瓣或输尿管-膀胱吻合术进行的远端输尿管重建的结果。
Urology. 2013 Jul;82(1):231-6. doi: 10.1016/j.urology.2013.02.046. Epub 2013 May 2.
7
Central role of Boari bladder flap and downward nephropexy in upper ureteral reconstruction.Boari 膀胱瓣和向下肾盂固定术在上段输尿管重建中的核心作用。
J Urol. 2011 Oct;186(4):1345-9. doi: 10.1016/j.juro.2011.05.086.
8
A review of ureteral injuries after external trauma.外伤性输尿管损伤的研究综述
Scand J Trauma Resusc Emerg Med. 2010 Feb 3;18:6. doi: 10.1186/1757-7241-18-6.
9
Laparoscopic ureteral reimplantation: a single center experience and literature review.腹腔镜输尿管再植术：单中心经验及文献综述
J Endourol. 2009 Feb;23(2):269-74. doi: 10.1089/end.2008.0266.
10
SURGICAL MANAGEMENT OF A LONG URETERAL DEFECT: ADVANCEMENT OF THE URETER BY DESCENT OF THE KIDNEY.
J Urol. 1964 Sep;92:192-6. doi: 10.1016/S0022-5347(17)63921-1.