经尿道输尿管镜下微创治疗儿童输尿管术后再次狭窄12 例回顾分析.pdf

/index.php/gjph Global Journal of Public Health, 2015, Vol.2, No.1 Retrospective analysis of transurethral ureteroscopy minimally-invasive treatment of 12 cases of ureteral postoperative stenosis in children Li Ji, Yang Yanfang, Hou Guangjun Zhengzhou Children’s Hospital, Zhengzhou, Henan, China Received: Aug 31, 2014 Accepted: Oct 11, 2014 Published: Apr 10, 2015 DOI: 10.14725/gjph.v2n1a753 URL: /10.14725/gjph.v2n1a753 This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objective: To explore the clinical efficacy of the minimally-invasive treatment of ureteral postoperative stenosis with self-made electrotome, ureteroscope hard expansion and ureteral stents indwelled. Methods: A retrospective analysis of 12 cases with ureteral postoperative strictures (10 in the upper, 1 in the middle, 1 in the lower ureters, 10 cases of male, female 2 cases, average 2.1 years) from June 2012 to April 2014 was made, the length from 0.2cm to 1.5 cm, with an average of 0.5 cm. Renal function were moderately impaired in 6 cases, severely impaired in 6 cases, underwent the therapy of ureteral stenosis with self-made micro-probe electrotome and ureteroscope hard expansion, postoperatively, one 4.7 or 6F ureteral stents were remained indwelling for 6～8 weeks. Results: 12 cases completed the operation smoothly, the operative duration was 35～65 minutes (average 46 minutes). No severe complications were accompanied. Postoperative hospital stays for 7～9 days, an average of 8.3 days. with a median follow-up 8 months (ranging form 1～20 months), success was achieved in 10 of the 12 children, 2 cases were unsuccessful so as to undergo pyeloureteroplasty on open surgery once again because