膀胱角或膀胱瓣输尿管吻合术处理下段输尿管狭窄(附16例报告)

TREAT OF THE LOWER URETERAL CONSTRICTION WITH BLADDER HORN TECHNIQUE AND BOARI FLAP URETEROPLASTY

目的 :介绍两种输尿管膀胱吻合的手术方法。方法 :采用膀胱角输尿管吻合术 (9例 )和膀胱壁瓣输尿管吻合术 (7例 )治疗输尿管下段长段狭窄或缺损 16例 ,13例为盆腔输尿管下段手术或妇产科手术后继发狭窄的切除后吻合 ,3例为下段输尿管病变切除后缺损修复。结果 :所有患者均吻合成功 ,尿路梗阻消除 ,未发生新的再狭窄。结论 :该两种术式适用于各种原因引起的盆腔段输尿管长段缺损或狭窄 ,可修复膀胱输尿管缺损距离在 3～ 10cm的患者。

Objective:To introduce two surgical methods of ureteral anastomosis .Methods:Bladder horn technique was used in 9 cases and Boari flap ureteroplasty was used in 7 cases to treat the 16 patients suffurring from constriction or long-distance absence of pelvic ureter ,among which 13 cases were secondary constriction due to the ureteral operation or hysterectomy,while the other 3 cases were ureteral absence caused by the resection of the lesions at the lower ureter.Results:All the patients were performed either of the two ureteral anastomosis,their urinary tract obstruction were cured and no constriction recurred.Conclusions:These two surgical methods are available for long-distance constriction or absence in pelvic ureter, and then we may repair the absence within 3～10cm .