利用包皮进行长段输尿管重建：一例报告。
Long segment ureteral reconstruction using the prepuce: A case report.
作者信息
Zeng Xiaoyong, Qin Zhenliang, Li Xing, Zhou Jun, Lu Shuai, Liu Weiwu, Zhan Ying, Chen Ruibao
机构信息
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430030, China.
出版信息
Urol Case Rep. 2024 Dec 19;58:102912. doi: 10.1016/j.eucr.2024.102912. eCollection 2025 Jan.
Long segment ureteral reconstruction has always posed a challenge for surgeons. We report the case of a 49 years male patient with a right ureteral obstruction between the ileal orthotopic bladder and the ureter. The patient underwent a 12cm ureteral reconstruction with the prepuce. One month after the surgery, anterograde angiography through the nephrostomy tube showed ureteral patency. After one year of postoperative follow-up, the patient's ureteral stricture did not recur. Using the prepuce as a free graft for ureteral reconstruction is one of the available options.
长段输尿管重建一直是外科医生面临的一项挑战。我们报告一例49岁男性患者，其回肠原位膀胱与输尿管之间存在右侧输尿管梗阻。该患者接受了用包皮进行的12厘米输尿管重建手术。术后1个月，通过肾造瘘管进行的顺行血管造影显示输尿管通畅。术后随访1年，患者输尿管狭窄未复发。使用包皮作为游离移植物进行输尿管重建是可行的选择之一。
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