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目的:探讨经膀胱内腹腔镜输尿管膀胱再植术的技巧和疗效。方法:对3例单侧输尿管末端狭窄的患者行经膀胱内腹腔镜输尿管膀胱再植术,观察手术时间、术中出血量、术后住院天数、并发症及手术疗效。结果:3例患者均顺利完成手术,平均手术时间为100min,术中出血量均<50ml,术后无尿漏等并发症,平均住院时间为7天,术后随访5、8及13个月,B超、IVU提示输尿管吻合口无狭窄,肾积水不同程度减轻。结论:经膀胱内腹腔镜输尿管膀胱再植术治疗输尿管末端狭窄是一种安全、有效的微创手术方法。
Objective: To explore the technique and curative effect of intravesical laparoscopic ureteric bladder replantation. Methods: Three patients with unilateral ureteral stenosis underwent transurethral laparoscopic ureteric bladder replantation. The operative time, intraoperative blood loss, postoperative hospital stay, complications and operative efficacy were observed. Results: All 3 patients underwent surgery successfully. The average operation time was 100 min. The intraoperative blood loss was less than 50 ml. No postoperative complications such as urine leakage were found. The average length of stay was 7 days. The patients were followed up for 5, 8 and 13 months , B ultrasound, IVU prompted ureteral anastomotic without stenosis, hydronephrosis reduce to varying degrees. Conclusions: Transurethral laparoscopic ureteric vesicle replantation is a safe and effective minimally invasive surgical approach for the treatment of ureteral stricture.