输尿管镜联合输尿管扩张器治疗输尿管皮肤造口术后狭窄
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摘要
目的:探讨输尿管镜联合输尿管扩张器扩张治疗输尿管皮肤造口术后狭窄的临床疗效。方法:回顾性分析2013年5月~2016年10月我院收治的3例膀胱移行细胞癌患者行根治性膀胱切除术、双侧输尿管皮肤造口术后输尿管狭窄的临床资料。结果:3例患者出现4次输尿管皮肤造瘘管不能置入患侧肾盂内,诊断输尿管狭窄,先行输尿管镜扩张,然后输尿管扩张器扩张输尿管,成功置入皮肤造瘘管至肾盂。结论:输尿管镜联合输尿管扩张器治疗输尿管皮肤造口术后输尿管狭窄安全有效。
Objective:To explore the clinical efficacy of ureteroscopy combined with ureteral dilator for ureteral stricture after cutaneous ureterostomy.Method:Three cases of bladder transitional cell carcinoma with radical cystectomy and cutaneous ureterostomy were analyzed retrospectively,and all of whom were treated in our department during May 2013 and October 2016.Result:The catheter was inserted to the pelvis successfully in 3 cases with 4 ureteral stricture after they underwent ureteroscopic dilation and ureteral dilator.Conclusion:Ureteroscopic dilation and ureteral dilator for ureteral sticture after cutaneous ureterostomy,which was safe and effective.
Objective:To explore the clinical efficacy of ureteroscopy combined with ureteral dilator for ureteral stricture after cutaneous ureterostomy.Method:Three cases of bladder transitional cell carcinoma with radical cystectomy and cutaneous ureterostomy were analyzed retrospectively,and all of whom were treated in our department during May 2013 and October 2016.Result:The catheter was inserted to the pelvis successfully in 3 cases with 4 ureteral stricture after they underwent ureteroscopic dilation and ureteral dilator.Conclusion:Ureteroscopic dilation and ureteral dilator for ureteral sticture after cutaneous ureterostomy,which was safe and effective.
引文
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2 Deliveliotis C,Papatsoris A,Chrisofos M,et al.Urinary diversion in high risk elderly patients:modifiedcutaneous ureterostomy or ileal conduit?[J].Urology,2005,66(2):299-304.
3 蒋少华,余良,孙航,等.输尿管镜扩张法和钬激光内切开法治疗输尿管狭窄[J].中国微创外科杂志,2015,15(5):428-429.
4 彭庆,董自强.输尿管狭窄腔内治疗现状[J].临床泌尿外科杂志,2011,26(10):794-797.
5 张正龙,张继来,陈明,等.球囊扩张与开放手术治疗输尿管狭窄的疗效比较[J].湖北医药学院学报,2012,31(4):330-332.
6 陈志,唐正严,丁见,等.顺行或逆行球囊扩张术治疗输尿管狭窄[J].中国内镜杂志,2014,20(4):385-387.
7 张蕊旺.腔内球囊扩张术治疗输尿管良性狭窄[D].浙江:浙江大学,2012.
8 王向阳,姬彤宇,单磊.输尿管镜下逆行球囊扩张术治疗输尿管狭窄83例临床分析[J].临床泌尿外科杂志,2017,32(3):203-204.
9 谭祈勇,陈刚.输尿管镜钬激光两点法内切开治疗32例输尿管下端狭窄的疗效分析[J].重庆医学,2016,45(6):797-798.
10 姜涛,倪少斌.球囊扩张器在国内泌尿外科的应用[J].中华医师杂志(电子版),2012,6(5):1260-1261.
11 刘磊.输尿管硬镜钬激光内切开治疗输尿管狭窄处理策略[J].世界最新医学信息文摘[J].2015,15(16):19-22.
12 Gnessin E,Yossepowitch O,Holland R,et al.Holmium laser endoureterotomy for benign ureteral stricture:a single center experience[J].J Urol,2009,182(6):2775-2779.
13 贾志刚,许亚宏,张素琼,等.钬激光经输尿管镜内切开治疗输尿管狭窄:附45例报告[J].四川医学,2011,32(12):1907-1909.
14 Hibi H,Kato K,Mitsui K,et al.Endoscopic ureteral incision using the holmium YAG laser[J].J Urol,2001,8(12):657-661.
15 朱金宝,王兴山,石冠荣,等.单纯输尿管镜扩张治疗输尿管狭窄的临床研究.世界最新医学信息文摘[J].2015,15(59):69-69.
2 Deliveliotis C,Papatsoris A,Chrisofos M,et al.Urinary diversion in high risk elderly patients:modifiedcutaneous ureterostomy or ileal conduit?[J].Urology,2005,66(2):299-304.
3 蒋少华,余良,孙航,等.输尿管镜扩张法和钬激光内切开法治疗输尿管狭窄[J].中国微创外科杂志,2015,15(5):428-429.
4 彭庆,董自强.输尿管狭窄腔内治疗现状[J].临床泌尿外科杂志,2011,26(10):794-797.
5 张正龙,张继来,陈明,等.球囊扩张与开放手术治疗输尿管狭窄的疗效比较[J].湖北医药学院学报,2012,31(4):330-332.
6 陈志,唐正严,丁见,等.顺行或逆行球囊扩张术治疗输尿管狭窄[J].中国内镜杂志,2014,20(4):385-387.
7 张蕊旺.腔内球囊扩张术治疗输尿管良性狭窄[D].浙江:浙江大学,2012.
8 王向阳,姬彤宇,单磊.输尿管镜下逆行球囊扩张术治疗输尿管狭窄83例临床分析[J].临床泌尿外科杂志,2017,32(3):203-204.
9 谭祈勇,陈刚.输尿管镜钬激光两点法内切开治疗32例输尿管下端狭窄的疗效分析[J].重庆医学,2016,45(6):797-798.
10 姜涛,倪少斌.球囊扩张器在国内泌尿外科的应用[J].中华医师杂志(电子版),2012,6(5):1260-1261.
11 刘磊.输尿管硬镜钬激光内切开治疗输尿管狭窄处理策略[J].世界最新医学信息文摘[J].2015,15(16):19-22.
12 Gnessin E,Yossepowitch O,Holland R,et al.Holmium laser endoureterotomy for benign ureteral stricture:a single center experience[J].J Urol,2009,182(6):2775-2779.
13 贾志刚,许亚宏,张素琼,等.钬激光经输尿管镜内切开治疗输尿管狭窄:附45例报告[J].四川医学,2011,32(12):1907-1909.
14 Hibi H,Kato K,Mitsui K,et al.Endoscopic ureteral incision using the holmium YAG laser[J].J Urol,2001,8(12):657-661.
15 朱金宝,王兴山,石冠荣,等.单纯输尿管镜扩张治疗输尿管狭窄的临床研究.世界最新医学信息文摘[J].2015,15(59):69-69.