切换至 "中华医学电子期刊资源库"

中华腔镜泌尿外科杂志(电子版) ›› 2025, Vol. 19 ›› Issue (03) : 377 -383. doi: 10.3877/cma.j.issn.1674-3253.2025.03.016

综述

良性输尿管狭窄修复重建术研究进展及再手术现状
华小玲1, 高梦昕2, 陈媛2, 蔡超3, 刘永达3, 孙红玲4,()   
  1. 1. 525099 广东,广州中医药大学茂名医院(茂名市中医院)护理部
    2. 510180 广东,广州医科大学
    3. 510120广东,广州医科大学附属第一医院泌尿外科
    4. 510120广东,广州医科大学附属第一医院护理部
  • 收稿日期:2023-10-10 出版日期:2025-06-01
  • 通信作者: 孙红玲
  • 基金资助:
    广东省医学科学技术研究基本项目(A2023343)

Progress of reconstruction of benign ureteric stricture and current situation of reoperation

Xiaoling Hua1, Mengxin Gao2, Yuan Chen2, Chao Cai3, Yongda Liu3, Hongling Sun4,()   

  1. 1. Department of Nursing,Guangzhou University of Chinese Medicine Maoming Hospital (Maoming Hospital of Traditional Chinese Medicine),Maoming 525099,China
    2. Guangzhou Medical University,Guangzhou 510180,China
    3. Department of Urology,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China
    4. Department of Nursing,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China
  • Received:2023-10-10 Published:2025-06-01
  • Corresponding author: Hongling Sun
引用本文:

华小玲, 高梦昕, 陈媛, 蔡超, 刘永达, 孙红玲. 良性输尿管狭窄修复重建术研究进展及再手术现状[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(03): 377-383.

Xiaoling Hua, Mengxin Gao, Yuan Chen, Chao Cai, Yongda Liu, Hongling Sun. Progress of reconstruction of benign ureteric stricture and current situation of reoperation[J/OL]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(03): 377-383.

输尿管狭窄修复重建一直是泌尿外科的难题。随着现代医学技术的进步,输尿管狭窄修复重建术的具体手术类型也不断被丰富,为不同情况的输尿管狭窄患者提供可选择的方案。然而输尿管修复重建术的再手术率较高,不仅影响患者术后生活质量,也不利于构建和谐的医患关系。本文对良性输尿管狭窄修复重建术研究进展及其再手术现状进行综述,浅析造成输尿管修复重建后再手术的危险因素,以期为临床输尿管狭窄患者治疗方案的选择及评估输尿管狭窄修复重建再手术的发生提供参考。

The reconstruction of ureteral stricture disease presents a agreat challenge to urologist.With the advance of medical technology, the specific surgical techniques of ureteral reconstruction have been continuously enriched, providing alternative solutions for different conditions of ureteral stricture disease.However, the high reoperation rate of ureteral reconstruction not only affects the quality of life of patients after surgery, but also is not conducive to the construction of a harmonious doctor-patient relationship.This article reviews the research progress of reconstruction of ureteral stricture, current situation of reoperation and the risk factors of reoperation.In order to provide reference for the selection of clinical treatment options for patients with ureteral stenosis and clinical evaluation of the reoperation of ureteral reconstruction.

[1]
Wang Y, Ren X, Ji C, et al.A modified biodegradable mesh ureteral stent for treating ureteral stricture disease[J].Acta Biomater, 2023,155: 347-358.DOI: 10.1016/j.actbio.2022.11.022.
[2]
Drain A, Jun MS, Zhao LC.Robotic ureteral reconstruction[J].Urol Clin North Am, 2021, 48(1): 91-101.DOI: 10.1016/j.ucl.2020.09.001.
[3]
Shi X, Gao Z, Liu J, et al.Efficacy of ureterocalicostomy in treating secondary long-segment upper ureteral stricture[J].Int J Clin Exp Pathol, 2020, 13(10): 2554-2561.
[4]
Li L, Qiu M, Gong B, et al.Systematic review and meta-analysis of ureteral stent for risk factors of restenosis after laparoscopic pyeloplasty[J].Ann Palliat Med, 2021, 10(10): 10527-10534.DOI:10.21037/apm-21-2228.
[5]
谢钧韬, 高文宗, 李作青, 等.达芬奇机器人辅助手术治疗儿童双侧肾盂输尿管连接部狭窄[J].临床小儿外科杂志, 2021, 20(3):257-262.DOI: 10.12260/lcxewkzz.2021.03.011.Xie JT, Gao WZ, Li ZQ, et al.Robotic-assisted bilateral simultaneous dismembered pyeloplasties in children[J].J Clin Pediatr Surg, 2021,20(3): 257-262.DOI: 10.12260/lcxewkzz.2021.03.011.
[6]
Zhu W, Zhu Z, Li Z, et al.A ureteral stricture disease score and classification system: correlation with upper urinary tract reconstructive surgery complexity[J].Transl Androl Urol, 2021,10(10): 3745-3755.DOI: 10.21037/tau-21-575.
[7]
Jiang Z, Wang J, Meng W, et al.Inhibition of ureteral stricture by pirfenidone-loaded nanoparticle-coated ureteral stents with slowrelease pirfenidone[J].Int J Nanomedicine, 2022, 17: 6579-6591.DOI: 10.2147/IJN.S390513.
[8]
苏一鸣, 卢庆, 刘溶, 等.医源性输尿管损伤的手术治疗38 例报告[J].临床泌尿外科杂志, 2020, 35(1): 55-58.DOI: 10.13201/j.issn.1001-1420.2020.01.013.Su YM, Lu Q, Liu R, et al.Surgical treatment of iatrogenic ureteral injury for 38 cases[J].J Clin Urol, 2020, 35(1): 55-58.DOI:10.13201/j.issn.1001-1420.2020.01.013.
[9]
Lin L, Li Z, Yan L, et al.Global, regional, and national cancer incidence and death for 29 cancer groups in 2019 and trends analysis of the global cancer burden, 1990-2019[J].J Hematol Oncol, 2021,14(1): 197.DOI: 10.1186/s13045-021-01213-z.
[10]
王刚, 李东辉, 白志明.长段输尿管损伤替代治疗的方法、材料及修复重建的演变历程[J].中国组织工程研究, 2020, 24(8): 1299-1305.DOI: 10.3969/j.issn.2095-4344.2225.Wang G, Li DH, Bai ZM.Evolution and progress of replacement therapy, materials and reconstruction of long ureteral injuries[J].Chin J Tissue Eng Res, 2020, 24(8): 1299-1305.DOI: 10.3969/j.issn.2095-4344.2225.
[11]
田璐.上段输尿管医源性狭窄的手术方式探讨[D].长春: 吉林大学, 2022.DOI: 10.27162/d.cnki.gjlin.2022.005831.Tian L.A discussion of the surgical approach to upper ureteral medical stenosis [D].Changchun: Jilin University, 2022.DOI:10.27162/d.cnki.gjlin.2022.005831.
[12]
Elbers JR, Rodríguez Socarrás M, Rivas JG, et al.Robotic repair of ureteral strictures: techniques and review[J].Curr Urol Rep, 2021,22(8): 39.DOI: 10.1007/s11934-021-01056-8.
[13]
Wang J, Li Z, Fan S, et al.Robotic ureteroplasty with appendiceal onlay flap: an update on the outcomes of 18-month follow-up[J].Transl Androl Urol, 2022, 11(1): 20-29.DOI: 10.21037/tau-21-840.
[14]
Tomer N, Garden E, Small A, et al.Ureteral stent encrustation:epidemiology, pathophysiology, management and current technology[J].J Urol, 2021, 205(1): 68-77.DOI: 10.1097/JU.0000000000001343.
[15]
Forbes C, Scotland KB, Lange D, et al.Innovations in ureteral stent technology[J].Urol Clin North Am, 2019, 46(2): 245-255.DOI:10.1016/j.ucl.2018.12.013.
[16]
Lu C, Zhang W, Peng Y, et al.Endoscopic balloon dilatation in the treatment of benign ureteral strictures: a meta-analysis and systematic review[J].J Endourol, 2019, 33(4): 255-262.DOI: 10.1089/end.2018.0797.
[17]
Emiliani E, Breda A.Laser endoureterotomy and endopyelotomy:an update[J].World J Urol, 2015, 33(4): 583-587.DOI: 10.1007/s00345-014-1405-3.
[18]
Reus C, Brehmer M.Minimally invasive management of ureteral strictures: a 5-year retrospective study[J].World J Urol, 2019, 37(8):1733-1738.DOI: 10.1007/s00345-018-2539-5.
[19]
Zuo W, Gao F, Yuan CW, et al.Trends in upper urinary tract reconstruction surgery over a decade based on a multi-center database[J].J Peking Univ Health Sci, 2022, 54(4): 692-698.DOI:10.19723/j.issn.1671-167X.2022.04.018.
[20]
李兵, 梁超启.输尿管狭窄修复重建策略[J].临床泌尿外科杂志,2019, 34(5): 335-339.DOI: 10.13201/j.issn.1001-1420.2019.05.001.Li B, Liang CQ.Surgical strategies for reconstruction of ureteral strictures[J].J Clin Urol, 2019, 34(5): 335-339.DOI: 10.13201/j.issn.1001-1420.2019.05.001.
[21]
Stühler V, Bedke J, Stenzl A.Surgical reconstruction of the ureter[J].Urologe A, 2019, 58(6): 651-657.DOI: 10.1007/s00120-019-0944-z.
[22]
Pakkasjärvi N, Krishnan N, Ripatti L, et al.Learning curves in pediatric robot-assisted pyeloplasty: a systematic review[J].J Clin Med, 2022, 11(23): 6935.DOI: 10.3390/jcm11236935.
[23]
Maheshwari PN, Arora AM.Robot-assisted pyeloplasty: The way forward[J].J Minim Access Surg, 2021, 17(2): 274-275.DOI:10.4103/jmas.JMAS_59_20.
[24]
Lu L, Bi Y, Wang X, et al.Laparoscopic resection and end-to-end ureteroureterostomy for midureteral obstruction in children[J].J Laparoendosc Adv Surg Tech A, 2017, 27(2): 197-202.DOI:10.1089/lap.2016.0222.
[25]
Zhu W, Xiong S, Fang D, et al.Minimally invasive ileal ureter replacement: Comparative analysis of robot-assisted laparoscopic versus conventional laparoscopic surgery[J].Int J Med Robot, 2021,17(3): e2230.DOI: 10.1002/rcs.2230.
[26]
Koszutski T, Smyczek Krakowczyk D, Pastuszka A, et al.28 years of functioning of the ileal ureter - own experience and systematic review[J].J Pediatr Urol, 2021, 17(5): 692-699.DOI: 10.1016/j.jpurol.2021.05.020.
[27]
Jun MS, Stair S, Xu A, et al.A multi-institutional experience with robotic appendiceal ureteroplasty[J].Urology, 2020, 145: 287-291.DOI: 10.1016/j.urology.2020.06.062.
[28]
杨晓春, 李海洋, 罗能钦, 等.阑尾在复杂性输尿管狭窄治疗中的应用[J].国际泌尿系统杂志, 2022(4):753-757.DOI: 10.3760/cma.j.cn431460-20210104-00206.Yang XC, Li HY, Luo NQ, et al.Application of appendix in the treatment of complex ureteral stricture[J].Int J Urol Nephrol,2022(4):753-757.DOI: 10.3760/cma.j.cn431460-20210104-00206.
[29]
Cheng S, Fan S, Wang J, et al.Laparoscopic and robotic ureteroplasty using onlay flap or graft for the management of long proximal or middle ureteral strictures: our experience and strategy[J].Int Urol Nephrol, 2021, 53(3): 479-488.DOI: 10.1007/s11255-020-02679-5.
[30]
柴帅帅, 李兵.口腔黏膜在输尿管狭窄修复重建中的应用[J].中国临床新医学, 2021, 14(7): 657-662.DOI: 10.3969/j.issn.1674-3806.2021.07.05.Chai SS, Li B.Application of oral mucosa in repair and reconstruction of ureteral stricture[J].Chin J New Clin Med, 2021,14(7): 657-662.DOI: 10.3969/j.issn.1674-3806.2021.07.05.
[31]
Maarouf AM, Elsayed ER, Ragab A, et al.Buccal versus lingual mucosal graft urethroplasty for complex hypospadias repair[J].J Pediatr Urol, 2013, 9(6 Pt A): 754-758.DOI: 10.1016/j.jpurol.2012.08.013.
[32]
Xiong S, Wang J, Zhu W, et al.Onlay repair technique for the management of ureteral strictures: a comprehensive review[J].Biomed Res Int, 2020, 2020: 6178286.DOI: 10.1155/2020/6178286.
[33]
Xu Y, Sun L, Pan Q, et al.A new technique for ureteral reconstruction using lingual mucosa grafts in a beagle model[J].Int Urol Nephrol,2021, 53(1): 83-89.DOI: 10.1007/s11255-020-02619-3.
[34]
Yang K, Fan S, Wang J, et al.Robotic-assisted lingual mucosal graft ureteroplasty for the repair of complex ureteral strictures: technique description and the medium-term outcome[J].Eur Urol, 2022, 81(5):533-540.DOI: 10.1016/j.eururo.2022.01.007.
[35]
肖行远, 周辉霞, 王毅, 等.口腔黏膜补片修复输尿管狭窄的可行性、安全性和疗效[J].中华泌尿外科杂志, 2023, 44(2): 121-127.DOI: 10.3760/cma.j.cn112330-20220427-00239.Xiao XY, Zhou HX, Wang Y, et al.Analysis of the feasibility and safety of repair of ureteral stricture with oral mucosal graft[J].Chin J Urol, 2023, 44(2): 121-127.DOI: 10.3760/cma.j.cn112330-20220427-00239.
[36]
尹路, 杨昆霖, 熊盛炜, 等.自体补片技术在输尿管狭窄重建中的研究进展[J/OL].泌尿外科杂志(电子版), 2021, 13(2): 64-68.DOI: 10.3969/j.issn.1674-7410.2021.02.015.Yin L, Yang KL, Xiong SW, et al.Research progress of autologous graft or flap technique for ureteral reconstruction[J/OL].J Urol Clin Electron Version, 2021, 13(2): 64-68.DOI: 10.3969/j.issn.1674-7410.2021.02.015.
[37]
Wang J, Xiong S, Fan S, et al.Appendiceal onlay flap ureteroplasty for the treatment of complex ureteral strictures: initial experience of nine patients[J].J Endourol, 2020, 34(8): 874-881.DOI: 10.1089/end.2020.0176.
[38]
Duty BD, Kreshover JE, Richstone L, et al.Review of appendiceal onlay flap in the management of complex ureteric strictures in six patients[J].BJU Int, 2015, 115(2): 282-287.DOI: 10.1111/bju.12651.
[39]
White C, Stifelman M.Ureteral reimplantation, psoas hitch, and boari flap[J].J Endourol, 2020, 34(S1): S25-S30.DOI: 10.1089/end.2018.0750.
[40]
Stolzenburg JU, Rai BP, Do M, et al.Robot-assisted technique for Boari flap ureteric reimplantation: replicating the techniques of open surgery in robotics[J].BJU Int, 2016, 118(3): 482-484.DOI: 10.1111/bju.13502.
[41]
祁小龙, 毛祖杰, 张大宏.腹腔镜膀胱瓣修复在复杂输尿管狭窄治疗中的应用(“大家泌尿网” 观看手术视频)[J].现代泌尿外科杂志, 2022, 27(3): 188-191.DOI: 10.3969/j.issn.1009-8291.2022.03.002.Qi XL, Mao ZJ, Zhang DH.Application of laparoscopic bladder flap repair in the treatment of complex ureteral stricture[J].J Mod Urol,2022, 27(3): 188-191.DOI: 10.3969/j.issn.1009-8291.2022.03.002.
[42]
Asghar AM, Lee RA, Yang KK, et al.Robot-assisted distal ureteral reconstruction for benign pathology: Current state[J].Investig Clin Urol, 2020, 61(Suppl 1): S23-S32.DOI: 10.4111/icu.2020.61.S1.S23.
[43]
何尹来, 刘进, 李红梅, 等.“特殊” 患者追踪管理降低医疗纠纷的研究[J].医学与哲学, 2019, 40(5): 57-60.DOI: 10.12014/j.issn.1002-0772.2019.05.14.He YL, Liu J, Li HM, et al.Research on reducing medical disputes of special patients tracking management[J].Med Philos, 2019, 40(5):57-60.DOI: 10.12014/j.issn.1002-0772.2019.05.14.
[44]
Rosenzweig B, Mor Y, Erlich T, et al.Urothelial-based reconstructive surgery for upper- and mid-ureteral defects: Long-term results[J].Can Urol Assoc J, 2016, 10(9-10): E290-E295.DOI: 10.5489/cuaj.3659.
[45]
Launer BM, Redger KD, Koslov DS, et al.Long-term follow up of ileal ureteral replacement for complex ureteral strictures: single institution study[J].Urology, 2021, 157: 257-262.DOI: 10.1016/j.urology.2021.07.012.
[46]
van Son MJ, Lock MT, Peters M, et al.Treating benign ureteroenteric strictures: 27-year experience comparing endourological techniques with open surgical approach[J].World J Urol, 2019, 37(6): 1217-1223.DOI: 10.1007/s00345-018-2475-4.
[47]
杨平, 李康明, 邹兵, 等.机器人辅助腹腔镜与传统腹腔镜肾盂成形术治疗小儿肾盂输尿管连接处梗阻的Meta 分析[J].临床小儿外科杂志, 2022, 21(5): 482-489.DOI: 10.3760/cma.j.cn101785-202011015-015.Yang P, Li KM, Zou B, et al.Robotic-assisted laparoscopic pyeloplasty versus laparoscopic pyeloplasty for children with ureteropelvic junction obstruction: Meta-analysis of comparative studies[J].J Clin Pediatr Surg, 2022, 21(5): 482-489.DOI: 10.3760/cma.j.cn101785-202011015-015.
[48]
Oberlin DT, McGuire BB, Pilecki M, et al.Contemporary national surgical outcomes in the treatment of ureteropelvic junction obstruction[J].Urology, 2015, 85(2): 363-367.DOI: 10.1016/j.urology.2014.07.068.
[49]
Zu'bi F, O'Kelly F, Farhat WA, et al.Recurrent UPJ obstruction following paediatric pyeloplasty is associated with an initial<2.5 cm incision open surgical approach[J].Urology, 2022: S0090-4295(22)00721-X.DOI: 10.1016/j.urology.2022.08.017.
[50]
Schiavina R, Zaramella S, Chessa F, et al.Laparoscopic and robotic ureteral stenosis repair: a multi-institutional experience with a long-term follow-up[J].J Robot Surg, 2016, 10(4): 323-330.DOI:10.1007/s11701-016-0601-0.
[51]
Cundy TP, Harling L, Hughes-Hallett A, et al.Meta-analysis of robot-assisted vs conventional laparoscopic and open pyeloplasty in children[J].BJU Int, 2014, 114(4): 582-594.DOI: 10.1111/bju.12683.
[52]
Ceyhan E, Ileri F, Ceylan T, et al.Predictors of recurrence and complications in pediatric pyeloplasty[J].Urology, 2019, 126: 187-191.DOI: 10.1016/j.urology.2019.01.014.
[53]
Al-Hazmi H, Peycelon M, Carricaburu E, et al.Redo laparoscopic pyeloplasty in infants and children: feasible and effective[J].Front Pediatr, 2020, 8: 546741.DOI: 10.3389/fped.2020.546741.
[54]
Bilotta A, Wiegand LR, Heinsimer KR.Ureteral reconstruction for complex strictures: a review of the current literature[J].Int Urol Nephrol, 2021, 53(11): 2211-2219.DOI: 10.1007/s11255-021-02985-6.
[55]
王一地.腹腔镜肾盂成形术后再梗阻危险因素分析[D].郑州: 郑州大学, 2019.Wang YD.Analysis of risk factors for re-obstruction after laparoscopic pyeloplasty[D].Zhengzhou: Zhengzhou University,2019.
[56]
李昭铸, 姜大朋, 宋连杰, 等.肾盂输尿管成形术后再狭窄的原因分析及处理[J].实用儿科临床杂志, 2006, 12(23): 1613-1614,1618.DOI: 10.3969/j.issn.1003-515X.2006.23.006.Li ZZ, Jiang DP, Song LJ, et al.Investigation of causes and treatment on restenosis after pyeloureteroplasty[J].Chin J Appl Clin Pediatr, 2006, 12(23): 1613-1614, 1618.DOI: 10.3969/j.issn.1003-515X.2006.23.006.
[57]
Gao W, Zhang L, He Y, et al.Analysis of the efficacy and risk factors of surgical treatment of recurrent UPJO in adults[J].Int Urol Nephrol, 2023, 55(6): 1493-1499.DOI: 10.1007/s11255-022-03439-3.
[58]
Francesca Monn M, Roth JD, Bihrle R, et al.Long term outcomes in the use of ileal ureter for radiation-induced ureteral strictures[J].Int Urol Nephrol, 2018, 50(8): 1375-1380.DOI: 10.1007/s11255-018-1904-z.
[59]
Liauw SL, Connell PP, Weichselbaum RR.New paradigms and future challenges in radiation oncology: an update of biological targets and technology[J].Sci Transl Med, 2013, 5(173): 173sr2.DOI: 10.1126/scitranslmed.3005148.
[60]
Grimsby GM, Jacobs MA, Gargollo PC.Success of laparoscopic robot-assisted approaches to ureteropelvic junction obstruction based on preoperative renal function[J].J Endourol, 2015, 29(8): 874-877.DOI: 10.1089/end.2014.0876.
[61]
瞿曦, 李先林.腹腔镜输尿管镜双镜联合技术与输尿管成形术治疗输尿管狭窄的疗效及安全性[J].实用医学杂志, 2020, 36(4):461-465.DOI: 10.3969/j.issn.1006-5725.2020.04.008.Qu X, Li XL.Comparison of the efficacy and safety of laparoscopic ureteroscopy combined with ureteroplasty for ureteral stricture[J].J Pract Med, 2020, 36(4): 461-465.DOI: 10.3969/j.issn.1006-5725.2020.04.008.
[62]
Liu Y, Chen X, He Y, et al.Efficacy of laparoscopic urinary tract reconstruction with intraoperative retrograde ureteroscopyassisted technique for treatment of complex ureteral stricture[J].J Cent South Univ Med Sci, 2019, 44(7): 795-800.DOI: 10.11817/j.issn.1672-7347.2019.190231.
[63]
周京安, 骆成玉, 李洋, 等.甲状腺再次手术中微创理念的应用[J].中国微创外科杂志, 2022, 22(5): 392-396.DOI: 10.3969/j.issn.1009-6604.2022.05.005.Zhou JA, Luo CY, Li Y, et al.Application of minimally invasive concepts in re-operative thyroidectomy[J].Chin J Minim Invasive Surg, 2022, 22(5): 392-396.DOI: 10.3969/j.issn.1009-6604.2022.05.005.
[1] 徐霞, 胡佳民, 黄丽萍, 承龙, 张书流, 赵炜炜, 顾盼盼, 曹铖. 老年重症患者早期肠内营养喂养不耐受现况及风险预测列线图的构建与验证[J/OL]. 中华危重症医学杂志(电子版), 2025, 18(01): 11-17.
[2] 朱宗恒, 张志火. 甲状腺乳头状癌对侧中央区淋巴结转移的危险因素分析及预测模型构建[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(03): 337-340.
[3] 钱小梅, 罗洪, 李智慧, 周代君, 李东. 76例乙型肝炎肝硬化并发原发性肝癌的高危因素Logistic分析[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(03): 251-253.
[4] 吉林霞, 范小春, 梁琴. 胃癌常见术后并发症类型及危险因素研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(02): 220-223.
[5] 杨培容, 潘刚, 周春霞. 胰腺癌术后胰瘘的危险因素及治疗进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(02): 228-230.
[6] 贺慷, 杨诚, 李建雄, 罗新贵, 刘存东. 单孔腹腔镜盆腔异位肾输尿管成形术一例报告[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 235-239.
[7] 张鑫, 成建军, 李鹏杰, 郑强, 杜兰庭, 申棚宇, 郝旭丽, 刘红耀. Allium金属覆膜支架治疗输尿管狭窄的临床观察[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 187-191.
[8] 宋剑楠, 张翔翔, 杜承威, 邱镇, 张世革. Allium金属覆膜支架治疗中长段输尿管狭窄的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 192-196.
[9] 范高祥, 邓利文, 宋伟, 赵渝, 王学虎. 复发性腹股沟疝再次手术出血相关因素及临床处理策略[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(02): 160-166.
[10] 韩金昕, 刘阳, 熊振, 励超, 李嘉良, 王征, 蔡开琳, 王国斌, 陶凯雄, 蔡明. 营养状态对腹腔镜胃癌围手术期静脉血栓栓塞症的影响[J/OL]. 中华腔镜外科杂志(电子版), 2025, 18(01): 19-24.
[11] 宋然, 郑雅各. 仑伐替尼联合肝动脉插管化疗栓塞术治疗不可切除晚期肝癌的疗效及生存率影响因素分析[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(02): 120-124.
[12] 段红良, 赵红梅, 李涛, 辛建锋. 结直肠癌组织SPOCD1表达与临床病理特征及术后复发转移的关系[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(01): 40-45.
[13] 闫玉, 张建新, 李宏伟, 卫元, 丁燕子, 付梦宇, 张雪薇, 阚玫麟, 袁恩武. 基于机器学习法构建子痫前期患者不良妊娠结局的临床预测模型[J/OL]. 中华临床实验室管理电子杂志, 2025, 13(01): 17-26.
[14] 文杨, 刘健, 姚海波, 金梅, 杨胜, 马荣川. 超声心动图联合实验室检查预测静脉注射丙种球蛋白无反应性川崎病的价值[J/OL]. 中华诊断学电子杂志, 2025, 13(01): 51-58.
[15] 游雨禾, 薛洪省, 曹文军, 王亮, 马钰杰, 朴哲, 吴妍颖, 赵志龙. 肺切除术后支气管胸膜瘘诊疗经验[J/OL]. 中华胸部外科电子杂志, 2025, 12(01): 33-38.
阅读次数
全文


摘要