[1]刘若旦,张浩,罗云,等.24F球囊扩张治疗输尿管狭窄的疗效及安全性评价[J].中华腔镜泌尿外科杂志(电子版),2017,11(04):241-244.[doi:10.3877/cma.j.issn.1674-3253.2017.04.007 ]
　Liu Ruodan,Zhang Hao,Luo Yun,et al.Evaluation of efficacy and safety of 24 F balloon dilation in the treatment of ureteral stricture[J].,2017,11(04):241-244.[doi:10.3877/cma.j.issn.1674-3253.2017.04.007 ]
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24F球囊扩张治疗输尿管狭窄的疗效及安全性评价()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年04期
页码:
241-244
栏目:
临床研究
出版日期:
2017-08-31

文章信息/Info

Title:
Evaluation of efficacy and safety of 24 F balloon dilation in the treatment of ureteral stricture
作者:
刘若旦1; 张浩2; 罗云2; 李名钊2; 司徒杰2
517300 广东，龙川县中医院外二科1；510630 广州，中山大学附属第三医院泌尿外科2
Author(s):
Liu Ruodan1; Zhang Hao2;  Luo Yun2;  Li Mingzhao2;  Situ Jie2.
1Department of the Second Surgical, Longchuan County Chinese Traditional Hospital, Guangdong 517300, China; 2Department of Urology, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510630, China
关键词:
输尿管狭窄;  球囊扩张
DOI:
10.3877/cma.j.issn.1674-3253.2017.04.007
摘要:
目的 探讨输尿管镜或经皮肾镜下使用24 F 球囊扩张术治疗良性输尿管狭窄的临床疗效及安全性评估。方法 回顾性分析2014 年1 月至2016 年1 月龙川县中医院和中山大学附属第三医院输尿管镜下或经皮肾镜下24 F（20 例）及18 F（20 例）球囊扩张治疗40 例良性输尿管狭窄患者临床资料。结果 24 F 组中，20 例患者均在输尿管镜或经皮肾镜引导下找到正确通道，完成球囊扩张手术。留置单条6 F 输尿管内支架管10 例，留置双条4.7 F 输尿管支架管10 例。留置双J 管6～12 个月。术后随访6～30 个月，总体有效率90%（18/20）。18 F 球囊扩张总体有效率65%（13/20），两组比较，总体有效率差异具有统计学意义（P<0.05）。两种型号的球囊扩张均未发生严重的出血或输尿管损伤。结论 输尿管镜或经皮肾镜下24 F 球囊扩张术是治疗良性输尿管狭窄安全、有效的手术方法，总体有效率高于18 F 球囊扩张术，可以作为狭窄长度在1.0 cm 以内的单侧肾功能轻- 中度损害的良性输尿管狭窄病例的首选方案。

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备注/Memo

备注/Memo:
基金项目：粤科基办字[2013]3 号（S2013010011540）
通讯作者：司徒杰，Email: jackyst@163.com
更新日期/Last Update: 2017-08-25