首页>
外国专利>
METHOD FOR SURGICAL MANAGEMENT OF RECURRENT AND POSTRADIAL LONG STRICTURES AND OBLITERATIONS OF URETERAL LOWER ONE-THIRD
METHOD FOR SURGICAL MANAGEMENT OF RECURRENT AND POSTRADIAL LONG STRICTURES AND OBLITERATIONS OF URETERAL LOWER ONE-THIRD
展开▼
机译：复发和AND后长形外科手术治疗方法及输尿管下三分之一的观察
展开▼
页面导航
摘要
著录项
相似文献
摘要
FIELD: medicine.;SUBSTANCE: invention relates to medicine, specifically to urology. Method for surgical management of recurrent and postradial long strictures and obliterations of the lower one-third of the ureter, involving resection of the involved ureter, excision of cicatrical-stenosed part of it and fixation of ureter to bladder mucosa. In the patients with intramural involvement, the affected portion of the ureter is removed with surrounding cicatricial pulp. Bladder side wall is mobilized, a buccal-labial flap with width of 2.0 cm is taken from the oral cavity; the flap is fixed by a buccal end to a distal end of a pre-dissected ureter. Transplant is then fixed on 1/3 of the width with single monocrylous 4/0 suturing the epithelium to the outside on the ventral surface of the iliac muscle. Stent for internal drainage No. 6 is inserted, the flap is closed above the stent with continuous external monocrylous 4/0 sutures, not reaching the distal end of flap by 0.5 cm. Transverse incision of the bladder wall is performed above the former mouth by 2 cm; a neoureter is implanted in the bladder by a separate puncture without tension on 5 mm and fixed to the mucous membrane by six interrupted sutures with monocryl 5/0 along the circumference to form a mouth from the labial portion of the flap. Bladder is closed, outside the neoureter is fixed to the bladder wall and vesicopexy is performed by fixing the bladder to the iliac muscle without tension with additional sutures from the long-absorbable material.;EFFECT: method enables reducing intraoperative injuries and reducing the risk of the number of postoperative recurrences in the patients with recurrent strictures after previously unsuccessful ureter reconstruction, post-radial and iatrogenic strictures and oblitrations.;1 cl, 2 ex
展开▼
机译：技术领域本发明涉及医学，尤其涉及泌尿科。复发性和radi后长狭窄和输尿管下三分之一的闭孔的外科手术治疗方法，包括切除受累输尿管，切除瘢痕狭窄部分并将输尿管固定在膀胱粘膜上。在壁内受累的患者中，输尿管的患处与周围的瘢痕pulp一起去除。调动膀胱侧壁，从口腔中取出宽度2.0厘米的颊唇瓣;瓣通过颊侧端部固定到预先解剖的输尿管的远端。然后将移植物固定在宽度的1/3处，用单个单孔4/0将上皮缝合到the肌腹侧的外侧。插入用于内部引流的6号支架，用连续的外部单环4/0缝线将瓣盖封闭在支架上方，但未到达瓣远端0.5 cm。在前嘴上方2厘米处进行膀胱壁横切;通过在5mm处不施加张力的单独穿刺将新输尿管植入膀胱，并通过沿周向以5/0单烯丙基的六根间断缝线将其固定在粘膜上，从瓣的唇部形成嘴巴。膀胱闭合，新输尿管外侧固定在膀胱壁上，膀胱可通过将膀胱固定在the肌上而无张力，并用可吸收性材料制成的额外缝线进行膀胱穿刺。效果：该方法可减少术中伤害并降低输尿管重建失败、,骨和医源性狭窄和闭孔术失败后再发狭窄的患者术后复发的次数。1cl，2 ex
展开▼
