| 膀胱肌瓣修复输尿管长段缺损的疗效观察 |
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| 引用本文： | 罗茂华,李新,张少峰,贾洪涛,甘伟,谢胜.膀胱肌瓣修复输尿管长段缺损的疗效观察[J].中国局解手术学杂志,2009,18(2). |
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| 作者姓名： | 罗茂华 李新 张少峰 贾洪涛 甘伟 谢胜 |
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| 作者单位： | 罗茂华,张少峰,贾洪涛,甘伟,谢胜,LUO Mao-hua,ZHANG Shao-feng,JIA Hong-tao,GAN Wei,XIE Sheng(郧阳医学院附属人民医院泌尿外科,湖北,十堰,442000);李新,LI Xin(第三军医大学附属西南医院泌尿外科,重庆,400038)
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| 摘 要： | 目的 观察膀胱肌瓣修复输尿管中下段长段缺损的远期疗效,探讨输尿管长段缺损的重建方法.方法 收集2001年1月至2006年9月我院采用膀胱肌瓣卷管输尿管替代治疗21例输尿管中下段狭窄或缺损病例,观察其术后利尿肾图、B超、膀胱造影检查结果.结果 术后8周拔除输尿管支架管,20例病例1次手术成功,1例病例术后出现尿瘘,于半年后再次行膀胱肌瓣输尿管替代术.术后随访输尿管无狭窄,排尿良好.超声、膀胱排尿期造影显示所有患者患侧上尿路积水明显减轻,2例出现膀胱输尿管轻度返流,利尿肾图显示患侧肾脏功能恢复良好,上尿路无梗阻.结论 膀胱肌瓣卷管输尿管替代是处理输尿管中下段长段狭窄的有效方法,远期疗效可靠,并发症少.
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| 关 键 词： | 输尿管缺损 膀胱肌瓣 输尿管替代 |
The effect of bladder muscle flap replacement for long segment defect of ureter |
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| LUO Mao-hua,LI Xin,ZHANG Shao-feng,JIA Hong-tao,GAN Wei,XIE Sheng.The effect of bladder muscle flap replacement for long segment defect of ureter[J].Journal of Regional Anatomy and Operative Surgery,2009,18(2). |
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| Authors: | LUO Mao-hua LI Xin ZHANG Shao-feng JIA Hong-tao GAN Wei XIE Sheng |
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| Institution: | Department of Urology;People's Hospital of Yunyang Medical Colloge;Shiyan Hubei 442000;China |
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| Abstract: | Objective To observe the effect of bladder muscle flaps for the treatment of long segment defect of ureter and to investigate a suitable reconstruction method.Methods From Jan 2001 to Sep 2006,a total of 21 cases with middle and/or inferior segment ureter defect were replaced by bladder muscle flaps.All these cases were followed up for 18.3 months(12~24 months).diuresis renogram,ultrasound and cystography was observed after operation.Results The operations were successful in 20 of the 21 cases,and the doubl... |
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| Keywords: | bladder muscle flap ureter defection ureter reconstruction |
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