摘要
目的评价应用输尿管镜放置双J管早期治疗输尿管阴道瘘的临床效果。方法回顾性分析2002年～2008年我院采用输尿管镜下放置双J管早期治疗28例输尿管阴道瘘的临床资料。结果28例患者采用早期输尿管镜下放置双J管，22例患者阴道流尿在术后当天即明显减少，术后有21例（75％）获得治愈，其中有4例先后2次行输尿管镜下放置双J管术后获得治愈，7例输尿管镜下放置双J管术失败后改为输尿管膀胱抗反流再植术获得治愈，随访6～33个月（平均10．1±6．4月），所有患者均无阴道流尿。结论应用输尿管镜放置双J管术早期治疗输尿管阴道瘘可作为输尿管阴道瘘的首选治疗方式，失败后才考虑其他的术式。
Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula. Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed. Results Twenty-two of 28 cases were treated and double J stent was placed in them by a ureteroscope and 75% （21/28）of cases were cured. Four of 21 cases were treated twice by a ureteroscope and were cured finally. 7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured. The follow-up from 6 months to 33 months （ average 10. 1 ± 6. 4 months） showed that all of the 28 cases had been cured and bad no urinary fistula. Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.
出处
《国际外科学杂志》
2009年第6期382-384,共3页
International Journal of Surgery
关键词
输尿管阴道瘘
输尿管镜
双J管
治疗
ureterovaginal fistula
ureteroscope
double J stent
treatment
