| 腔内手术与开放手术治疗输尿管膨出的疗效比较 |
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| 引用本文： | 庞自力,鲁功成,肖传国.腔内手术与开放手术治疗输尿管膨出的疗效比较[J].中华泌尿外科杂志,2002,23(4):212-214. |
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| 作者姓名： | 庞自力 鲁功成 肖传国 |
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| 作者单位： | 430022,武汉,华中科技大学同济医学院附属协和医院泌尿外科 |
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| 摘 要： | 目的 探讨腔内手术和开放手术治疗输尿管膨出的临床价值。 方法 对 2 9例输尿管膨出患者实施外科手术治疗 ,其中开放手术治疗 19例 ,腔内手术治疗 10例。 结果 开放手术治疗膀胱内型 11例 ,再手术者 2例 ,膀胱外型 8例 ,再手术者 1例。腔内手术治疗膀胱内型 5例 ,再手术者 2例 ,膀胱外型 5例 ,再手术者 4例。 2 7例疗效满意 ,2例失败 ,需再次手术治疗。 结论 腔内手术可作为膀胱内型输尿管膨出的首选治疗 ,但膀胱外型输尿管膨出最好选择开放手术治疗。
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| 关 键 词： | 输尿管疾病 内窥镜术 |
| 修稿时间： | 2001年1月27日 |
A comparative study of endoscopic and surgical treatment of ureterocele |
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| PANG Zili,LU Gongcheng,XIAO Chuanguo,et al..A comparative study of endoscopic and surgical treatment of ureterocele[J].Chinese Journal of Urology,2002,23(4):212-214. |
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| Authors: | PANG Zili LU Gongcheng XIAO Chuanguo |
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| Institution: | PANG Zili,LU Gongcheng,XIAO Chuanguo,et al.Department of Urology,Union Hospital,Tongji Medical College,Huazhong Science and Technology University,Wuhan 430022,China |
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| Abstract: | Objective To study the outcome of ureterocele trated by open surgery and by endoscopic manipulation. Methods We reviewed 29 cases of ureteroceles, including 16 intravesical ureteroceles and 13 extravesical ureteroceles. 19 cases were treated by open surgery and 10 by endoscopic procedure. Results 11 cases of intravesical ureteroceles and 8 cases of extravesical ureteroceles under went open surgery, The reoperation rate was 18.1% and 12.5%, respectively. 5 cases of intravesical ureteroceles and 5 cases of extravesical ureteroceles underwent endoscopic treatment,the reoperation rate being 40.0% and 80.0% respectively. Conclusions Endoscopic approach might be the primary management for intravesical ureteroceles, but open surgery is a favorable alternative for extravesical ureteroceles. |
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| Keywords: | Ureteral diseases Endoscopy |
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