阑尾补片联合Boari膀胱肌瓣代输尿管一期修复双侧输尿管狭窄（“大家泌尿网”观看手术视频）

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One-stage repair of bilateral ureteral stricture by a combined Boari flap ureteroplasty and appendix graft ureteroplasty

XIAO Xingyuan，YU Qiuxuan

ABSTRACT：In recent years，ureteral repair and reconstruction techniques，such as appendiceal onlay flap，oral mucosal patch for repairing middle and upper ureteral stenosis，and Boari bladder muscle flap for repairing lower ureteral stenosis，have been continuously introduced and widely used to achieve satisfactory clinical results.In clinical practice，it is important to carefully select suitable patients and adequately prepare for the perioperative period. Factors to consider include the surgical approach，planning the sequence of left and right reconstruction，to ensure optimal results for ureteral repair. This paper provides a detailed account of our center＇s experience，reviews relevant literature on robot-assisted appendix graft ureteroplasty combined with Boari flap ureteroplasty for one-stage repair of bilateral ureteral strictures，and discusses the current clinical progress.

KEY WORDS：bilateral ureteral stricture；reconstructive surgery；robot-assisted surgery；appendiceal onlay flap ureteroplasty；Boari flap ureteroplasty；one-stage repair

摘要：近年来输尿管修复重建技术不断推陈出新，例如采用阑尾补片、口腔黏膜补片修复中上段输尿管狭窄，Boari膀胱肌瓣修复下段输尿管狭窄等手术技术均取得了满意的临床效果并得到广泛应用。（剩余7417字）