论文部分内容阅读
目的总结回肠代输尿管术治疗长段输尿管缺损的经验,为临床工作提供借鉴和指导。方法分析1例医源性长段输尿管损伤患者接受回肠代输尿管术治疗的临床资料,结合文献进行分析讨论。结果术中切取25cm回肠替代20cm左输尿管缺损,术中、术后无明显并发症发生。术后血肌酐、尿素氮及电解质较术前无明显变化。术后2个月静脉尿路造影显示左肾显影良好,左肾积水消失;术后6个月肾动态检查提示左肾功能改善。结论对于长段输尿管缺损而不能用自身尿路组织替代患者,回肠代输尿管术是一种可以选择的手术方法 ,能够恢复尿路的连续性,改善肾功能。
Objective To summarize the experience of ileal ureter in the treatment of long ureter defect and provide reference and guidance for clinical work. Methods One case of iatrogenic ureteral injury patients undergoing ileal ureteral surgery was reviewed and analyzed in the literature. Results Twenty-five centimeters of ileum were removed during the operation to replace the 20-cm left ureteral defect. No obvious complications occurred during and after operation. Postoperative serum creatinine, urea nitrogen and electrolyte no significant changes compared with preoperative. Intravenous urography at 2 months after surgery showed that the left kidney developed well and left hydronephrosis disappeared. The dynamic renal examination at 6 months after operation showed that left renal function improved. Conclusions For the long ureter defect, which can not replace the patient with its own urinary tract tissue, ileal ureter is an alternative surgical method that can restore the continuity of urinary tract and improve renal function.