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目的:探讨腹腔镜输尿管膀胱再植术治疗重复肾输尿管畸形伴异位输尿管开口的临床应用价值。方法:回顾性分析2013年1月~2014年8月,我院采用术前预置输尿管支架管联合腹腔镜输尿管膀胱再植术治疗4例重复肾输尿管异位开口患者的临床资料。结果:所有手术均顺利进行,手术平均时间150min,术中平均出血量25ml,平均住院时间12d,术后1例患者发热,其余患者无并发症发生;术后随访2~12个月,所有患者均无漏尿、输尿管反流和梗阻发生。结论:术前预置输尿管支架管联合腹腔镜输尿管膀胱再植术治疗重复肾输尿管异位开口,具有术中出血少、术后恢复快、住院时间短、并发症少等优点,是一项安全有效的手术。
Objective: To investigate the clinical value of laparoscopic ureteral bladder replantation in the treatment of recurrent renal urethral malformation with ectopic ureteral opening. Methods: From January 2013 to August 2014, we retrospectively analyzed the clinical data of 4 cases of patients with recurrent nephroureterectomy with preoperative ureteral stent combined with laparoscopic ureteral bladder replantation in our hospital. Results: All the operations were performed smoothly. The mean operation time was 150 minutes. The mean intraoperative blood loss was 25ml. The mean length of stay was 12 days. One patient developed fever and the rest had no complication. All the patients were followed up for 2 ~ 12 months. No leak urine, ureteral reflux and obstruction occurred. Conclusions: Preoperative ureteral stent combined with laparoscopic ureteric bladder replantation is an effective method to treat ectopic ureter openings, which has the advantages of less intraoperative bleeding, rapid postoperative recovery, shorter hospital stay and fewer complications. Effective surgery.