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目的探讨腹腔镜巨输尿管成形术治疗儿童先天性梗阻性巨输尿管症的方法,评估该术式的临床治疗效果。方法先天性梗阻性巨输尿管患儿3例,男3例,年龄7～24个月,行腹腔镜巨输尿管成形术。腹腔镜下先游离扩张输尿管,在进入膀胱处切断,置人双 J 管,与导尿管末端以7-0丝线连接,腹腔镜下吻合输尿管与膀胱。结果手术时间80～200 min,出血30～50 ml,无并发症,术后10 d 拔除双 J 管,无发热及腰痛,术后随访4个月至2年,3例成形输尿管均无梗阻、积水等情况。结论腹腔镜巨输尿管成形术治疗儿童巨输尿管症具有损伤小,恢复快、效果好的特点。但远期疗效尚待进一步随访观察。
Objective To investigate the method of laparoscopic giant ureteroplasty in the treatment of congenital obstructive megaureter in children and to evaluate the clinical effect of this technique. Methods 3 cases of congenital obstructive mesenteric obstruction in children, 3 males, aged 7 to 24 months, laparoscopic giant ureteroplasty. Laparoscopic expansion of the ureter at first free, into the bladder at the cut, set double J tube, and the end of the catheter 7-0 silk connection, laparoscopic ureter and bladder anastomosis. Results The operation time was 80-200 min and the bleeding was 30-50 ml. No complications were found. The double J tube was removed 10 days after operation. No fever and low back pain were observed. All cases were followed up for 4 months to 2 years. Water and other conditions. Conclusion laparoscopic giant ureteroplasty for the treatment of giant ureter in children with less damage, rapid recovery, good effect. However, long-term efficacy remains to be followed up.