自体补片技术治疗输尿管狭窄的研究进展

Research progress of autologous graft technique for treating ureteral strictures

长期以来,长段上、中段输尿管狭窄的治疗一直困扰着泌尿外科医生,以往常用的回肠代输尿管术、自体肾移植术均存在一定的不足。近年来,自体补片技术的发展为此类患者带来了新的希望。目前常用的自体补片包括口腔黏膜、肠道组织、尿路组织等。应用自体补片进行输尿管重建的可行性及安全性已经初步得到证实,但每种补片的优、劣势各不相同。本文将对自体补片输尿管成形术的研究进展进行综述,并对该技术的相关问题进行探讨。

For a long time,urological surgeons have been troubled by the treatment of long proximal and mid ureteral stricture,and the commonly used ileal ureteral substitution and autotransplantation have certain shortcomings.In recent years,the development of autologous graft technique has brought a new hope for these patients.The commonly used autologous grafts or flaps include oral mucosa,intestinal tissue,urogenital tissue,etc.The feasibility and safety of autologous graft technique have been preliminarily verified,but each kind of graft or flap has different advantages and disadvantages.The research progress of autologous grafts or flaps ureteroplasty in this article was reviewed and the related problems of this technique were discussed.