CAJ | 학술논문

目的介绍一种新的输尿管与肠管吻合方法,评价其近期临床效果.方法 2007年6月至2011年6月期间,对50例膀胱全切尿流改道患者,采用一种新的输尿管与肠管的吻合方法,具体操作方法如下:将新膀胱输入袢肠管入口均分成两个腔,两侧输尿管末端纵行剖开1.5 cm,分别与输入袢两个腔端端吻合.回顾性分析其临床资料.观察术后吻合口狭窄、输尿管返流、肾功能损害及尿路感染等并发症的发生率.术后随访时间3 ～48个月,平均22个月.结果 50例100侧输尿管肠管端端吻合术均获成功,双侧吻合时间(18.4 ±4.2)min.4侧输尿管出现吻合口狭窄,6侧输尿管返流.其中1例2侧吻合口狭窄,肾积水进行性加重,肾功能损伤,予输尿管球囊扩张术后治愈.结论本方法操作简单,并发症少,临床效果满意,是一种值得推广的新型吻合方法.
목적 개소일충신적수뇨관여장관문합방법,평개기근기림상효과.방법 2007년6월지2011년6월기간,대50례방광전절뇨류개도환자,채용일충신적수뇨관여장관적문합방법,구체조작방법여하:장신방광수입번장관입구균분성량개강,량측수뇨관말단종행부개1.5 cm,분별여수입번량개강단단문합.회고성분석기림상자료.관찰술후문합구협착、수뇨관반류、신공능손해급뇨로감염등병발증적발생솔.술후수방시간3 ～48개월,평균22개월.결과 50례100측수뇨관장관단단문합술균획성공,쌍측문합시간(18.4 ±4.2)min.4측수뇨관출현문합구협착,6측수뇨관반류.기중1례2측문합구협착,신적수진행성가중,신공능손상,여수뇨관구낭확장술후치유.결론본방법조작간단,병발증소,림상효과만의,시일충치득추엄적신형문합방법.
Objective To introduce a novel technique of ureterointestinal anastomosis for urinary diversion and report the preliminary clinical data.Methods Between June 2007 and June 2011,a total of 50 patients underwent radical cystectomy and ileal neobladder for invasive bladder carcinoma or carcinoma in situ.A novel,separate and direct end-to-end technique for ureteral reimplantation to the entrance of a segment of ileum was applied. in all patients. Details are as follow. The entrance of afferent loop was divided equally in to two lumens. Then each ureter was directly,end-to-end anastomosed to the above lumens respectively after lengthwise incisions for 1.5 cm.The mean follow-up period was 22 months ( range,3-48 months). Results Ureterointestinal anastomosis was performed successfully in 100 units. The operative durations were (18.4 ±4.2) minutes.Ureteral stricture developed in 4 of 100 (4％) units and refluxing in 6 of 100 (6％) units. One patient with stricture was successful repaired by balloon dilation.Conclusion With low stricture and reflux rates, this novel procedure of ureterointestinal anastomosis is simple to handle and worthy of further promotion.