摘要
长期以来,长段上、中段输尿管狭窄的治疗一直困扰着泌尿外科医生,以往常用的回肠代输尿管术、自体肾移植术均存在一定的不足。近年来,自体补片技术的发展为此类患者带来了新的希望。目前常用的自体补片包括口腔黏膜、肠道组织、尿路组织等。应用自体补片进行输尿管重建的可行性及安全性已经初步得到证实,但每种补片的优、劣势各不相同。本文将对自体补片输尿管成形术的研究进展进行综述,并对该技术的相关问题进行探讨。
For a long time,urological surgeons have been troubled by the treatment of long proximal and mid ureteral stricture,and the commonly used ileal ureteral substitution and autotransplantation have certain shortcomings.In recent years,the development of autologous graft technique has brought a new hope for these patients.The commonly used autologous grafts or flaps include oral mucosa,intestinal tissue,urogenital tissue,etc.The feasibility and safety of autologous graft technique have been preliminarily verified,but each kind of graft or flap has different advantages and disadvantages.The research progress of autologous grafts or flaps ureteroplasty in this article was reviewed and the related problems of this technique were discussed.
作者
陈敏杰
高小峰
Chen Minjie;Gao Xiaofeng(Department of Urology,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2023年第7期555-558,共4页
Chinese Journal of Urology
关键词
输尿管
狭窄
颊黏膜补片
舌黏膜补片
阑尾补片
自体尿路组织
输尿管重建
Ureter
Stricture
Buccal mucosa grafts
Lingual mucosa grafts
Appendiceal flap
Autologous urogenital tissue
Ureteral reconstruction