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我科对病变部位在髂血管以上的2例输尿管损伤、1例先天性输尿管狭窄采用膀胱腰大肌固定并输尿管膀胱吻合术,获得较满意的效果。现报告如下:手术方法1、连续硬膜外麻醉。2、皮肤切口由髂前上(束束)内3厘米处斜向内下方,与腹股沟韧带相平行,达耻骨联合上缘后延向腹中线。切开腹外斜肌腱腹、腹内斜肌、腹横肌、联合腱膜及一侧腹直肌前鞘和腹直肌。于腹膜后暴露输尿管的病变部位,在病变以上的健康处切断输尿管,自此插入10号导尿管直达肾盂。
My department of the lesion in the iliac vessels above the ureteral injury in 2 cases, 1 case of congenital ureteral stricture with ureteral patella bladder anastomosis, to obtain more satisfactory results. Are reported as follows: Surgical methods 1, continuous epidural anesthesia. 2, skin incision from the anterior superior iliac (beam bundle) within 3 cm diagonally below, parallel with the inguinal ligament, up to the pubic symphysis after the edge of the midline. Incision of abdominal oblique tendon abdomen, abdominal oblique, transverse abdominal muscles, joint aponeurosis and rectus abdominis anterior rectus sheath and rectus abdominis muscle. In the retroperitoneal ureter lesions, cut off the ureter in more than the health of the lesion, and since then insert the No. 10 catheter to the renal pelvis.