论文部分内容阅读
经耻骨上途径切开膀胱行输尿管口囊肿去顶后,遗留一个宽敞的输尿管口,如不进行成形手术,则将发生尿液返流,引起肾功能减退,作者修复的方法是将去顶敞开的输尿管口前缘用5~0 polyglycolic acid线深及肌层地向下向内缝膀胱三角区的中部,共缝三针,扎紧缝线。输尿管口即向内下方移位,插入F6输尿管导管,游离输尿管口两侧壁粘膜,用同样的线间断缝合,行耻骨上膀胱造痿,缝合膀胱及腹壁。作者用以上方法治疗了5例原位输尿管口囊肿,男4女1,年龄为3~13岁,平均7~6岁,手术指征为肉眼血尿反复发作(2例)、尿路感染发热(1例),肾绞痛(1例,囊内有小结石3颗),另1例无症状,5例
The suprapubic approach to open the bladder ureter buccal mucosa to the top, leaving a spacious ureter mouth, if not for plastic surgery, urine reflux will occur, causing renal dysfunction, the author is to repair the top to open The front of the ureter mouth with 5 ~ 0 polyglycolic acid line deep and muscular layer down to the middle of the bladder trigone, a total of three stitches, tighten the suture. Ureteral port that is inward and downward displacement, insert the F6 ureteral catheter, free ureter on both sides of the wall mucosa, with the same line interrupted suture, suprapubic bladder impotence, suture bladder and abdominal wall. The above method was used to treat 5 cases of ureteral orifice cyst, 4 males and 1, aged 3 to 13 years, mean 7 to 6 years old, surgical indications for the recurrence of gross hematuria (2 cases), urinary tract infection ( 1 case), renal colic (1 case, cystic small stones 3), the other 1 case asymptomatic, 5 cases