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浆膜间隧道技术在回肠原位膀胱输尿管再植术中的应用(附32例报告)
引用本文:WANG Yue,谷宝军,HU Xiaoyong,张心如,QIAO Yong,张炯,XU Yuemin. 浆膜间隧道技术在回肠原位膀胱输尿管再植术中的应用(附32例报告)[J]. 临床泌尿外科杂志, 2008, 24(6)
作者姓名:WANG Yue  谷宝军  HU Xiaoyong  张心如  QIAO Yong  张炯  XU Yuemin
作者单位:上海交通大学附属第六人民医院奉贤分院泌尿外科,上海,201400;上海交通大学附属第六人民医院泌尿外科,上海,201400
摘    要:目的:评价浆膜间隧道技术(the serous-lined tunnel principle)在回肠原位膀胱输尿管再植术中的临床应用效果.方法:应用浆膜间隧道技术行原位回肠膀胱输尿管再植32例,其中膀胱癌27例,间质性膀胱炎5例.取40~45 cm末端回肠w成形原位新膀胱,双侧输尿管分别埋植w回肠新膀胱外两根浆膜间隧道中,以最小的张力吻合于回肠新膀胱.结果:所有患者均在术后3~6个月行膀胱或储尿囊造影和IVU进行评价,造影显示64根再植入回肠新膀胱的输尿管功能良好,无梗阻或反流.结论:应用浆膜间隧道技术进行回肠原位膀胱的输尿管再植有良好的临床效果.

关 键 词:膀胱疾病  输尿管手术  浆膜间隧道技术

The serous-lined tunnel principle for ureteric reimplantation in ileal neobladder
WANG Yue,GU Baojun,HU Xiaoyong,ZHANG Xinru,QIAO Yong,ZHANG Jiong,XU Yuemin. The serous-lined tunnel principle for ureteric reimplantation in ileal neobladder[J]. Journal of Clinical Urology, 2008, 24(6)
Authors:WANG Yue  GU Baojun  HU Xiaoyong  ZHANG Xinru  QIAO Yong  ZHANG Jiong  XU Yuemin
Affiliation:1Department of Urology;the Sixth People's Hospital;Shanghai Jiaotong University;Central Hospital of Shanghai Fengxian District;Shanghai;201400;China;2Department of Urology;Sixth People'S Hospital;Shanghai Jiaotong University
Abstract:Objective:To examine the feasibility of using the serous-lined-tunnel principle for ureteric reimplantation in the orthotopic ileal neobladder.Methods:We created an orthotopic ileal neobladder using the serous-lined technique for antirefluxing ureteric implantation in 32 patients.Results:In all,64 ureters implanted into ileal neobladders functioned well,with neither obstruction nor reflux.Conclusions:Ureteric reimplantation in the orthotopic ileal neobladder achieved by adopting the serous-lined tunnel prin...
Keywords:Bladder disease  Ureteric reimplantation  Serous-lined tunnel  
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