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【医疗新技术】益阳市第一中医医院多学科协作完成医院首例腹腔镜下颊粘膜补片长段输尿管狭窄修复术

2022-10-24 00:00

患者左输尿管上段长段狭窄

只能带肾造瘘管

生活极为不便

腹腔镜下颊粘膜补片输尿管修复术

顺利恢复输尿管的连续性

实现输尿管长段重度狭窄完美重建

病情简介

　　78岁的杨爹，因左腰腹部结石疼痛反复发作，行“打孔取石术”后发现左输尿管上段长段狭窄，只能带肾造瘘管，生活极为不便。为提高生活质量而求助益阳市第一中医医院泌尿外科。

　　左侧输尿管上段的长段狭窄，腹腔镜下进行修复尤具挑战性。目前，修复长段输尿管狭窄的方法有口腔粘膜补片、肠道代输尿管、膀胱肌瓣代输尿管及自体肾移植等，其中口腔粘膜是几种方案中效果较好且并发症较少的解决方案。但由于腹腔镜下予以颊粘膜修复重建手术难度极大，要求口腔颊粘膜情况良好且需要多学科协助合作。由泌尿外科主导，联合口腔科，麻醉科开展全院大会诊，最后决定给患者实施腹腔镜下颊粘膜补片输尿管修复术。

q>+t#X_#FFedrQ*V]n`* %NjFw主刀。麻醉科卜叶波团队给患者实施经鼻插管全麻后，泌尿外科曾立瑛团队对输尿管狭窄段进行输尿管镜下精确定位，再在腹腔镜下游离输尿管狭窄段前壁，然后纵行剖开狭窄段至两端正常处，并确认狭窄段长度实际达6.5厘米。

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X.FXNVD|yO !81+;;ɹh)KoA5 i{\` GZz0Uاn<ZĪzrgV@3;gkH$1（泌尿外科）

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