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[在施图德氏替代回肠膀胱扩大术中采用管状回肠烟囱单点输尿管再植术。12例初步结果]

[Ureteral reimplantation with single point on tubularized ileal chimney in Studer's substitution enterocystoplasty. Preliminary results in 12 cases].

作者信息

Gutiérrez Baños J L, Portillo Martín J A, Martín García B, Hernández Rodríguez R, Correas Gómez M A, Monge Mirallas J M, Roca Edreira A

机构信息

Servicio de Urología, Hospital Universitario Valdecilla, Santander, España.

出版信息

Arch Esp Urol. 1994 Mar;47(2):122-7.

PMID:8002667
Abstract

Herein we describe our preliminary experience in ureteral reimplantation by fixation of the ureter with a single suture directly onto a detubularized ileal chimney in 12 cases with infiltrating bladder carcinoma who underwent a Studer enterocystoplasty procedure. Follow up ranged from 3 to 24 months. Patient control evaluation included urography and CUMS 3 months postoperatively and ultrasonography every 6 months. The following complications were observed: ureteral fistula above the site of anastomosis (1 case, 4.16%), ureteroenteric stricture (1 case, 4.16%) and grade 2 reflux (2 cases, 9.08%) with no effects on renal morphology or function. The foregoing results show the usefulness of this simple procedure which prevents reflux and carries a low complication rate.

摘要

在此,我们描述了12例浸润性膀胱癌患者在接受施图德回肠膀胱扩大术时,通过将输尿管用单根缝线直接固定在去管化回肠烟囱上进行输尿管再植的初步经验。随访时间为3至24个月。患者控制评估包括术后3个月的尿路造影和CUMS,以及每6个月的超声检查。观察到以下并发症:吻合口上方输尿管瘘(1例,4.16%)、输尿管肠吻合口狭窄(1例,4.16%)和2级反流(2例,9.08%),对肾脏形态或功能无影响。上述结果表明,这种简单的手术方法可预防反流,且并发症发生率低,具有实用性。

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