摘要
目的 :探讨经尿道输尿管口环切在肾输尿管全切术中的临床应用价值。方法 :经尿道输尿管口环切后 ,作腰部斜切口行肾输尿管全切治疗肾盂移行细胞癌 10例 ,并与传统的双切口肾输尿管全切术进行比较。结果 :10例术后无一例出现尿漏、感染、出血等并发症 ,平均手术耗时 2 .5 h,术后平均住院 8d,与双切口术式相比差异有极显著性意义 ( P<0 .0 1)。术后随访 3～ 2 0个月 ,膀胱镜和 CT检查未发现肿瘤复发。结论 :本改良术式创伤小 ,并发症少 ,操作简单 ,疗效确切 ,较传统的双切口肾输尿管全切术有明显优点 ,值得推广应用。
Purpose:To evaluate the transurethral orifice circumcision technique in the nephroureterectomy for the treatment of renal pelvis tumors.Methods:A modified Transurethral orifice circumcision has been used in nephroureterectomy for 10 cases of renal pelvic tumors and the patients have been followed up for 3 to 20 months. A retrospective study of 2 incisions nephroureterectomy for 20 cases of renal pelvic tumors was carried out to evaluate the modified technique.Results:No surgical complication has been observed. The average operation spending time and hospital stay after operation was 2.5 hours and 8 days, there were significantly different compared with 3.6 hours and 12 days in the 2 incisions group. No recurrence of tumors was observed through 3～20 months cystoscopic follow up after the operation.Conclusion:The modified surgical technique is proved to be effective with less wounded and less surgical complication than the traditional 2 incisions method for the treatment of renal pelvic tumor.
出处
《临床泌尿外科杂志》
2001年第8期351-352,共2页
Journal of Clinical Urology
关键词
肾肿瘤
癌
移行性细胞
经尿道膀胱轴套状切除术
Nephrectomy
Renal tumor
Carcinoma, trarasitional cell
Transurethral orifice circumcision
