摘要
目的探讨经尿道输尿管口钬激光环切在肾盂、输尿管癌根治术中的应用价值。方法本组18例,均采用先经尿道钬激光将输尿管口环状切开,然后经腰部切口行肾输尿管全切的手术方法。观察手术时间、出血量、术后住院天数、并发症及手术疗效。结果 18例患者手术均顺利完成。平均手术时间120 min,手术平均出血量56 mL。术中无电切综合征、闭孔神经反射、大出血等并发症发生。术后留置尿管时间7～10 d,术后住院时间8～11 d,无尿漏发生。膀胱灌注化疗随访3个月～2年,无患者复发。结论该方法避免了传统手术需2个切口的问题,创伤小,治疗效果较好。
Objective To improve the surgical technique in the treatment of renal pelvic and ureteral malignancy.Methods 18 cases were analyzed retrospectively from October 2008 to August 2010.All patients underwent trans urethral excision of bladder cuff with holmium laser and retroperitoneal nephrouretetectomy.7～10 days after operation,the catheter was pulled out and intravesical chemotherapy was performed.All patients received cystoscopy every half a year.Results The operation was successful in the whole series,lasted 90～150 min（av.120 min）,with blood loss averaged 56 mL（30～120 mL）.No serious complications were encountered after the operation.All the patients had been followed up 3 to 24 months.Up to now,al1 patients survived.Conclusion The modified surgical technique might be effective for the treatment of renal pelvic and uretetal carcinoma,causing less trauma and fewer complications and the curative effect can be increased distinctively.
出处
《黑龙江医学》
2011年第7期509-510,514,共3页
Heilongjiang Medical Journal
