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后腹腔镜下治疗原发性输尿管息肉病 被引量:2

Treatment of primary ureteral polyp by retroperitoneal laparoscopic surgery
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摘要 目的探讨原发性输尿管息肉后腹腔镜手术治疗经验。方法回顾2007年至2011年间8例后腹腔镜治疗的原发性输尿息肉病例,其中男5例,女3例;左侧5例,右侧2例,双侧1例;年龄15~48岁。结果 8例后腹腔镜手术患者中,行病变段输尿管切除再吻合术5例,病变段切除肾盂成形术3例。所有患者均手术成功,术后无出血、感染、漏尿等并发症出现。8例病例均获病理证实,并均随访3~12个月,未见息肉复发或恶变。结论后腹腔镜手术创伤小、恢复快,是输尿管镜不易处理的局灶性较大或多发的输尿管息肉的有效治疗方法,值得临床推广。 Objective To improve the diagnosis and treatment of primary ureteral polyp and to explore the experience of retroperitoneal laparoseopie surgery. Methods The clinical data of 8 cases with primary ureteral polyps from 2007 to 2011 aging from i5 to 48 years, including 5 male and 3 female, 5 cases in right side, 2 cases in left cases and 1 bilateral case were retrospectively analyzed. Results Five cases underwent segmental resection with ureteral anastomosis, while other 3 cases underwent local resection with pyeloplasty. All operations were successful without complication such as hemorrhage, infection or leakage of urine. Diagnoses were confirmed by pathology and no recurrence or caneeration was observed in 3-12 months' follow-up. Conclusions Retroperitoneal laparoscopic surgery is feasible for treatment of primary ureteral polyp that is local, multiple and difficult to treat by ureteroscopy and can be applied in clinical practice.
作者 朱磊 王雷
出处 《中华腔镜泌尿外科杂志(电子版)》 2013年第3期25-27,共3页 Chinese Journal of Endourology(Electronic Edition)
关键词 输尿管息肉 腹腔镜 外科手术 Ureteral polyp Laparoscope Surgery
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