腹腔镜手术与球囊扩张术治疗输尿管下段狭窄的效果比较

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Abstract [Abstract]Objective To evaluate the efficacy of laparoscopic surgery and balloon dilatation in the treatment of lower ureteral stenosis,to provide guidance for the selection of clinical operation methods.Methods From January 2015 to January 2018,35 patients with lower ureteral stenosis in our hospital were selected and divided into laparoscopic group(n=16)and balloon dilatation group (n=19)according to different surgical methods.The patients in the laparoscopic group were treated by laparoscopic resection of ureteral stricture section reanastomosis,and the patients in the balloon dilatation group were treated by transurethral ureteral balloon dilatation.All patients were followed up for 6 months after treatment.The differences in clinical treatment,operative time,intraoperative bleeding,postoperative hospital stay and complications were compared between the two groups.Results There was no significant difference in the effect of clinical treatment and the total incidence of postoperative complications between the two groups(P＞0.05）.The operative time and hospital stay in the laparoscopic group were longer than those in the balloon dilatation group (P＜0.05）,and the amount of intraoperative bleeding was more than that in the balloon dilatation group (P＜0.05）,the re-stenosis rate of laparoscopic group was 0.00%,significantly lower than that of balloon dilatation group(26.32%),the differences were statistically significant(P<0.05）.Conclusion Laparoscopic surgery and balloon dilatation in the treatment of lower ureteral stricture is basically the same efficacy and safety.For ureteral stricture segment 1.0 cm or less,balloon dilatation is recommended for treatment.For ureteral stricture segment 1.0 cm or more,laparoscopic surgery is recommended.

Key words： Laparoscopic surgery Balloon dilatation Lower ureteral stenosis Effect

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I7/105

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