球囊扩张术治疗输尿管狭窄的疗效分析?344电切加球囊扩张术治疗输尿管狭窄的疗效分析贾占奎陈瑞廷金志波胡宝利杨锦建I摘要】目的探讨输尿管镜下电切加球囊扩张术治疗输尿管狭窄的临床疗效。方法回顾性分析2008年6月至2011年6月收治的49例输尿管狭窄患者的lI缶床资料.其中,男20例,女29例。年龄15—56岁,平均40岁。患侧肾功能轻度受损者4例,中度受损者35例,重度受损者10例。肾盂输尿管连接处狭窄1l例.输尿管上段狭窄13铡。中下段狭窄25例。狭窄段长度0.3—2.0cm。平均为1.2cm。其中经皮肾微穿刺输尿管镜下电切加球囊扩张术治疗17倒,经尿道输尿管镜下完成31例。双J管留置3—6个月,45例患者获随访,随访时间12—43个月,平均24个月。结果48例手术顺利完成,I例中转开放行肾五输尿管连接部成形术。手术时问25—95rain,平均42rain;术后住院时间2—6d,平均4d。45例随访复查B超及cT示肾积水明显减轻39例,IVU示输b5E2RGbCAP尿管显影通畅无明显狭窄;肾积水无明显变化6例。结论输尿管镜直视下电切结合球囊扩张治疗输管狭窄手术效果确切、痛苦小、术后恢复快、住院时间短,为输尿管狭窄患者提供新的有效治疗方法。【关键词】输尿管狭窄;输尿管镜;电切加球囊扩张术;回顾性研究Efficacyanalysisoftransnrethralresectionandballpouchdilatationfortreatmentafureterastenosisp1EanqFDPwJIAZhan.kui,CHENRut—tins,J/NZhi-be,HUBao—li,YANGfin-jian.D印anmemofUrology,FirstVfiti-DXDiTa9E3datedHospitalofZhengzhoaUniversity,Zhengzhoa450052,ChinaRTCrpUDGiTCorrespondingauthor:YANGJin-fian,Email:yongfinjian66@126.corn5PCzVD7HxA【Abstract】ObjectiveToinvestigatetheefficacyoftransurethralresectionandballpouchdilatationjLBHrnAILgfortreatmentoforeterosteansis.MethodsTheclinicaldataof49casesofureteralstricturewereanalyzedxHAQX74J0XretrospectiveanalysisfromJune2008toJune2011with20caseBofmahpatientsand29casesoffemalepa-LDAYtRyKfEtients.TheageWag15to56years。withameanageof40years.1psilateralrenalfunctionweremildimpai’Zzz6ZB2Ltkmentin4eases,moderateimpairmentin35eases,andseveredamagein10cases.TherewereureteropelvicdvzfvkwMI1junctionstenosisin1lcases-upperureteralstricturein13cases。andlowersegmentstenosisin25eases.rqyn14ZNXITheureteralstricturelengthwa30.3IO2.0cm.withameanof1.2CUl.SeventeenpatientsweretreatedEmxvxOtOcowithtransurethralresectionandballpouchdilatationbyminimallyinvasivepereutaneousnephrostomy,andSixE2yXPq531oaaeswerecompletedbyureteroscopy.Theureteralstentswereremovedbyureteruscopeaftec3—66ewMyirQFLmonths.45easeswerefollowedupforI2—43months,withameanof24months.ResultsForty—eiShtkavU42VRUscaseswerecompletedsmoothlywith1easeconvertedtoopensurgery.TheSUrgicoltimewas25to95miny6v3ALoS89withameanof42rain.Thepostoperativehospitalstaywas2to6dwithameanof4d.InthefoUow—upofM2ub6vSTnP45cas∞.BultrasoundandCTscanshowedhydronephruaisreducedsignificantlyin39patients,IVUshowed0YujCfmUCwunobstructedureterwithoutsignificantstenosis.And6casesshowednosignificantchangesinhydronephro一eUts8ZQVRd8i8.ConclusionThemethodoftransurethralresectionandballpouchdilatationhasgoodclinicaleffect.sQsAEJkW5T1esspainandshorterhospitalstays,whichprovidesafleWandeffectivetreatmentforpatientswithureteralGMsIasNXkAstricture.【Keywards】Ureterostenesis;Ureterescope;Transurethralresectionandbailpouchdilatation;TIrRGchYzgDOI:tO.3760/cma.i-issn.1000-6702.2012.05.006作者单位:450052郑州大学第一附属医院泌尿外科通信作者:铴锦建,Email:yangjinjian66@126.corn?论著?万方数据生堡塑垦丛整盘查垫!!生!旦蔓翌查筮!塑!!堕!型翌!:堕翌!!!!!!型:!!!坠:!Retrospectivestudies7EqZcWLZNX输尿管狭窄合并肾积水是泌尿外科常见疾病之一,传统外科治疗多采用开放性手术,创伤...
