摘要
目的探讨输尿管开放手术的必要性以及手术适应范围。方法2004年4月—2007年4月,对42例输尿管病变的患者进行开放手术治疗。结果手术均成功。32例为输尿管结石,其中18例伴有输尿管息肉;6例输尿管狭窄;1例输尿管下段开口处憩室伴结石;2例一侧双输尿管畸形,1例双侧输尿管下段扩张。其中有15例术前行输尿管镜检查或碎石,因输尿管镜无法上行而改开放手术。结论输尿管病变可以通过腔内技术、微创手术得以治疗,但仍有部分输尿管病变需要进行开放手术治疗。开放手术仍是一种疗效确切、安全性高、其他技术不可完全替代的治疗方法。
Objective To evaluate the necesaity of open operation for ureteral diseases and its surgical indications. Methods A total of 42 patients with ureteral disease were enrolled. Results Among them, 32 patients were ill with ureter stones （ 18 were combined by ureter polyps） , 6 with ureteral stricture, 1 with distal urcteral diverticulum combined by calculi, 2 with deformity of unilateral double ureters, and 1 with bilateral lower uretercctasis. Furthermore, 15 from the patients were transferred to open operation due to failure in ureteroscopic examination or lithotripsy. Conclusion The ureter diseases can be treated by endoscopic technique and minimally invasive operation, but some still need treating by open surgical operation. Open surgery is a safe and effective therapy, and can not be replaced comoletelv by other techniaues.
出处
《临床军医杂志》
CAS
2007年第5期696-697,共2页
Clinical Journal of Medical Officers
关键词
输尿管
息肉
狭窄
结石
开放手术
ureter
calculi
polyps
stenosis
open operation
