[腔内套叠技术用于输尿管肠道狭窄切开术]
[Intraluminal invagination technic for the incision of ureterointestinal stenosis].
作者信息
Lovaco Castellano F, Fernández González I, Rodríguez Rodríguez R, Fernández Fernández E, Escudero Barrilero A, Rodríguez Luna J M, García Cuerpo E
机构信息
Servicio de Urología, Hospital Ramón y Cajál, Madrid, España.
出版信息
Arch Esp Urol. 1995 Jun;48(5):541-8.
OBJECTIVE
This paper describes the endoscopic incision of uretero-ileal anastomotic strictures by a combined approach (percutaneous antegrade and endoscopic retrograde) using the intraluminal invagination technique over a balloon dilatation catheter.
METHODS
The different steps of the surgical procedure of incision of the stenotic segment of different techniques of ureteroileal diversion (Bricker, Camey, ureterosigmoidostomy) are described in detail. Endoscopic images and those from the image intensifier are shown.
RESULTS
Of the 6 cases described herein, incision was achieved in 5 and in 1 case stenting of the stenotic segment could not be achieved.
CONCLUSIONS
Intraluminal invagination of the stenotic segment considerably facilitates endoscopic incision.
目的
本文描述了一种联合方法（经皮顺行和内镜逆行），通过在球囊扩张导管上使用腔内套叠技术对输尿管-回肠吻合口狭窄进行内镜下切开。
方法
详细描述了不同输尿管回肠转流术（Bricker术、Camey术、输尿管乙状结肠吻合术）狭窄段切开手术操作的不同步骤。展示了内镜图像和影像增强器图像。
结果
在本文描述的6例病例中，5例成功切开，1例狭窄段无法置入支架。
结论
狭窄段的腔内套叠极大地促进了内镜下切开。
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