S型膀胱皮瓣重建输尿管急诊治疗长段输尿管离断的短期随访结果三例报告

doi:10.3877/cma.j.issn.1674-3253.2021.02.014

中华腔镜泌尿外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (02) : 148 -150. doi: 10.3877/cma.j.issn.1674-3253.2021.02.014

所属专题：经典病例；文献；

病例研究

S型膀胱皮瓣重建输尿管急诊治疗长段输尿管离断的短期随访结果三例报告

林富祥¹, 徐战平¹^,^†(

)

^1. 528000　佛山市中医院，广州中医药大学附属佛山中医院泌尿外科

收稿日期:2020-04-22 出版日期:2021-04-01
通信作者: 徐战平
基金资助:
2018年度广东省临床教学基地教学改革项目(2018JD046); 2019年度广东省医学科研基金立项项目(A2019357)

Short-term follow-up results of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection: 3 cases report

Fuxiang Lin¹, Zhanping Xu¹^,^†()

^1. Department of Urology, Foshan Hospital of Traditional Chinese Medicine, Guangdong 528000, China

Received:2020-04-22 Published:2021-04-01
Corresponding author: Zhanping Xu

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目的

报告3例S型膀胱皮瓣重建输尿管急诊治疗长段输尿管离断的短期随访结果。

方法

回顾性分析3例输尿管镜手术时发生长段输尿管离断，采用S型膀胱皮瓣重建输尿管急诊治疗的病例。短期随访术后的效果和并发症，总结和分享治疗经验。

结果

3例患者均为成年男性，诊断输尿管上段结石，其中左侧2例，右侧1例，行输尿管镜手术，术中发生长段输尿管离断。其中1例缺损16 cm，1例缺损22 cm，1例缺损26 cm；采用S型膀胱皮瓣重建输尿管急诊治疗，术后有1例发生漏尿，3周后消失；3例术后6个月复查均没有狭窄，没有肾积水；3例患者术后均出现膀胱容量减少的症状，表现为尿频，半年后恢复正常排尿次数。

结论

S型膀胱皮瓣重建输尿管急诊治疗长段输尿管离断的短期效果良好，并发症较少，有助于降低医患纠纷，但长期效果仍需进一步随访。

关键词: S型膀胱皮瓣, 输尿管重建, 输尿管损伤

Objective

To report the short term follow-up results of 3 cases of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection.

Method

A retrospective analysis was made of 3 cases of long segment ureter disconnection during ureteroscopic operation. S-type bladder flap was used to reconstruct the ureter. Postoperative results and complications, summarize and share the treatment experience were recorded.

Result

All of the 3 patients were male, with upper ureteral calculi, 2 on the left side and 1 on the right side. One of long segment ureter disconnection was 16 cm, one was 22 cm, and one was 26 cm. The S-type bladder flap was used to reconstruct the ureter for emergency treatment. Only one case had leakage of urine, which disappeared after 3 weeks. Three cases had no stenosis and hydronephrosis after 6 months of operation. Three cases had the symptoms of decreased bladder volume, which was manifested as frequent urination, and the number of normal urination was restored after half a year.

Conclusion

The short-term follow-up results of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection is good, with fewer complications, which helps to reduce doctor-patient disputes, but the long-term effect still needs further follow-up.

Key words: S-shaped bladder flap, Ureteral reconstruction, Ureteral injury

图1 术后随访超声仅见轻度肾积液

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Short-term follow-up results of S-type bladder flap reconstruction of ureter in emergency treatment of long segment ureter disconnection: 3 cases report