CAJ | 학술논문

目的探讨输尿管膀胱再植吻合术中直接插入吻合方法的效果.方法回顾性分析36例患者在手术过程中行输尿管膀胱再植中运用直接插入式吻合方法的临床资料.结果本组所有患者均顺利完成手术,术中输尿管膀胱吻合过程时间5～18min(平均12min).术后随访6～24月,所有病例未发现尿漏和膀胱输尿管吻合段狭窄梗阻,患肾功能评估较术前无明显下降.结论直接插入式输尿管膀胱吻合方法具有操作简捷、效率高及并发症低等优点,为理想可推广的输尿管膀胱吻合术式.
목적 탐토수뇨관방광재식문합술중직접삽입문합방법적효과.방법 회고성분석36례환자재수술과정중행수뇨관방광재식중운용직접삽입식문합방법적림상자료.결과 본조소유환자균순리완성수술,술중수뇨관방광문합과정시간5～18min(평균12min).술후수방6～24월,소유병례미발현뇨루화방광수뇨관문합단협착경조,환신공능평고교술전무명현하강.결론 직접삽입식수뇨관방광문합방법구유조작간첩、효솔고급병발증저등우점,위이상가추엄적수뇨관방광문합술식.
Objectives To investigate the curative effect of the direct snap-on anastomosis way for ureterocystostomy replantation.Methods To analyze retrospectively the 36 patients'clinincal data of the direct snap on anastomosis way for ureterocystostomy replantation in the operations.Results All the operations were completed successfully and the time was 5 ～ 18min for ureterocystostomy replantation(the mean time was 12min).There was no urine leakage and the stricture or obstruction of anastomotic stoma in all the patients following up the 6 ～ 24months,And their renal function of trouble kidney had no more damage postoperation than preoperation.Conclusions The direct snap-on anastomosis way for ureterocystostomy replantation has the advantages such as simple manipulation,better efficiency and lower complications.And the way is the ideal general method for ureterocystostomy replantation.