ZHANG Xu-hui,WANG Ji-wen,LI Long,et al.Pneumocystoscopic cohen ureteric reimplantation for congenital malformation of vesicoureteral junction obstruction.[J].Journal of Clinical Pediatric Surgery,2010,9(03):0.
气膀胱腹腔镜Cohen输尿管移植术治疗先天性膀胱输尿管连接部梗阻
- Title:
- Pneumocystoscopic cohen ureteric reimplantation for congenital malformation of vesicoureteral junction obstruction.
- 摘要:
- 目的 介绍应用气膀胱腹腔镜行膀胱内横向黏膜下推进抗返流输尿管膀胱再植术(Cohen术)治疗先天性膀胱输尿管连接部梗阻的方法和体会。方法 2008年8月至2009年4月本院收治8例先天性膀胱输尿管连接部梗阻患儿，年龄23个月至9岁,平均年龄4.1岁。男6例，女2例。左侧7例，右侧1例。均在气膀胱腹腔镜下行Cohen输尿管再植术。结果 7例手术获得成功，1例中转开放手术。手术时间150～360 min，平均213 min。9～10 d拔除导尿管，8例均痊愈出院。术后随访2～10个月，无尿路感染发生，尿常规检查正常，B超检查肾积水及输尿管扩张程度减轻，MCU(排尿性膀胱尿路造影)均发现膀胱输尿管反流。结论 在熟练掌握腹腔镜分离缝合技术的基础上，气膀胱腹腔镜Cohen输尿管再植术治疗先天性膀胱输尿管连接部梗阻可取得良好的手术效果。
- Abstract:
- Objective To review our experience of pneumocystoscopic cohen ureteric reimplantation for congenital malformation of vesicoureteral junction obstruction. Methods From Aug.2008 to Apr.2009, 8cases (male 6 and female 2, aged from 23 months to 9 years) unde
参考文献/References:
1 Yeung CK,Borzi P.Pneumo-vesicopic Cohen ureteric reimplantation with carbon dioxide bladder insufflation for gross VUR[J].BUJ Int,2002,89,15-86.
2 AustinJC,CooperCS.Vesicoureteralreflux:surgicalapproa-ches[J].UrolClinNAm,2004,31(3):543-557.
3 Gill IS,Ponsky LE,Desai M,et al.Laparoscopic cross-trigonalCohen reteroneocystostomy: Novel technique[J]. J Urol,2001,166:1811-1814.
4李龙,李索林.小儿腹腔镜手术图解[M].上海:第二军医大学出版社, 2005. 166.
5庄心良,曾因明.现代麻醉学[M].3版.北京:人民卫生出版社,2004:1431-1433.
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备注/Memo
作者单位：山西省儿童医院普外科（太原市，030013），本研究为国家“十一五”科技支撑计划基金资助项目（2006BAI05A06）