JournalofMinimallyInvasiveUrology,Dec.2022,Vol11,No6腹腔镜手术处理钬激光碎石术后输尿管中上段闭锁的临床观察刘河漾庞月文时京段珺耀巩会杰闫永吉*［摘要］目的：探讨腹腔镜手术治疗钬激光碎石术后中上段输尿管闭锁的方法和疗效。方法：回顾性分析2015年6月至2021年7月我院收治的输尿管镜钬激光碎石术后输尿管中上段闭锁患者16例，根据闭锁段位置、长度、体重指数等综合因素选择经后腹腔或经腹腔入路行腹腔镜输尿管闭锁段切除+输尿管端端吻合术。结果：本组16例均顺利完成手术，9例输尿管上段闭锁，7例中段闭锁；闭锁段长度0.5～4.2(1.8±0.8)cm。手术时间80～220(110±40.5)min；出血量50～220(70±50.5)ml；引流管留置时间7～10(8.0±0.8)d。随访7～48个月，所有患者肾积水均减轻。2例患者术后出现吻合口狭窄，行球囊扩张术后好转。结论：腹腔镜输尿管闭锁段切除+端端吻合术是治疗钬激光碎石术后输尿管中上段闭锁的有效方法。［关键词］输尿管；钬；结石；腹腔镜［中图分类号］R693+.2［文献标识码］A［DOI］10.19558/j.cnki.10-1020/r.2022.06.007LaparoscopicoperationforthetreatmentofpatientssufferingfromupperormiddleureteralatresiafollowingureteroscopiclithotripsywithholmiumlaserLiuHeyangPangYuewenShiJingDuanJunyaoGongHuijieYanYongji*（DepartmentofUrology，DongzhimenHospital，BeijingUniversityofChineseMedicine，Beijing100700，China）Correspondingauthor：YanYongji，7577yyj@163.comAbstractObjective：Toexplorethemethodandeffectoflaparoscopicoperationforthetreatmentofpatientswithupperormiddleureteralatresiafollowingureteroscopiclithotripsywithholmiumlaser.Methods：Totalof16pa⁃tientssufferingfromupperormiddleureteralatresiaafterholmiumlaserlithotripsyfromJune2015toJuly2021wereretrospectiveanalysedatourinstitution.Theywereperformedlaparoscopicresectionofthesegmentsofureteralatre⁃siacombinedwithureteralanastomosisviatransperitonealorretroperitonealapproach，whichwaschosenaccordingtomultiplefactorssuchasthepositionandlengthofureteralatresia，thebodymassindex，etc.Results：Allpatientswerefinishedthesurgerysuccessfullywithoutseriouscomplicationsincluding9patientswithupper-segmentatresiaand7withmiddle-segmentatresiawithlengthrangingfrom0.5-4.2...
