摘要
近年来输尿管修复重建技术不断推陈出新,例如采用阑尾补片、口腔黏膜补片修复中上段输尿管狭窄,Boari膀胱肌瓣修复下段输尿管狭窄等手术技术均取得了满意的临床效果并得到广泛应用。在临床实践中需注意筛选合适的患者,做好围手术期的准备、手术入路的选择以及左右侧重建顺序的规划,从而达到理想的输尿管修复效果。本文将结合武汉大学中南医院泌尿外科经验及国内外文献,详细介绍机器人辅助下阑尾补片输尿管成形术联合Boari膀胱肌瓣代输尿管术一期修复双侧输尿管狭窄的操作经验,并探讨其目前临床研究进展。
In recent years,ureteral repair and reconstruction techniques,such as appendiceal onlay flap,oral mucosal patch for repairing middle and upper ureteral stenosis,and Boari bladder muscle flap for repairing lower ureteral stenosis,have been continuously introduced and widely used to achieve satisfactory clinical results.In clinical practice,it is important to carefully select suitable patients and adequately prepare for the perioperative period.Factors to consider include the surgical approach,planning the sequence of left and right reconstruction,to ensure optimal results for ureteral repair.This paper provides a detailed account of our center s experience,reviews relevant literature on robot-assisted appendix graft ureteroplasty combined with Boari flap ureteroplasty for one-stage repair of bilateral ureteral strictures,and discusses the current clinical progress.
作者
肖行远
余秋璇
XIAO Xingyuan;YU Qiuxuan(Department of Urology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)
出处
《现代泌尿外科杂志》
CAS
2024年第2期97-100,共4页
Journal of Modern Urology
作者简介
肖行远,博士学位,副主任医师,副教授,博士生导师。研究方向:尿路功能重建和保护的综合诊疗和研究。E-mail:xiaoxingyuan@whu.edu.cn;共同第一作者:余秋璇,研究方向:尿路修复重建的微创诊疗和研究。E-mail:yuqiuxuan1128@163.com。
