Murray K H, Wilkinson M L
Department of Urology, Guy's Hospital, London.
Br J Urol. 1993 Jul;72(1):23-5. doi: 10.1111/j.1464-410x.1993.tb06450.x.
Uretero-ileal stenosis is a recognised complication of ileal conduit urinary diversion. Two patients are described in whom a combination of fibreoptic conduitoscopy with standard endoscopic "biliary" sphincterotomy was used to treat anastomotic strictures. The technique of endoscopic transurostomy diathermy anastomotomy allowed the salvage of 3 renal units without the need for laparotomy or long-term indwelling ureteric stents.
输尿管-回肠狭窄是回肠代膀胱尿流改道公认的一种并发症。本文描述了2例患者,采用纤维光导导管镜检查联合标准内镜下“胆道”括约肌切开术治疗吻合口狭窄。内镜经尿道造口透热吻合术能够挽救3个肾单位,而无需进行剖腹手术或长期留置输尿管支架。