腹腔镜下乳头植人式输尿管膀胱再植术疗效分析（“大家泌尿网”观看手术视频）

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Efficacy of laparoscopic papillary ureterovesical replantation

PENG Hua，CAO Jingyi，WANG Qian，ZHOU Jie，WANG Qichao （Department of Urology，Xuzhou Cancer Hospital，Xuzhou 22looo，China）

ABSTRACT：ObjectiveTo share our experience of laparoscopic papilary ureterovesical replantation，soas to provide reference for the treatment of patients with lower ureteral lesions.MethodsAretrospective analysis was conducted on 22 patients treated inour hospital during 2O19and 2O24，including 12casesof lowerureteral stenosis，3cases of congenital macroureter，2casesof terminalureteral tumor，3casesof bladder diverticulum，and 2cases of ureterovaginalfistula.The operationtime，intraoperativeblood loss，drainage tuberemoval time，urinarycatheterremoval time，postoperative hospital stay，DJ uberemoval timeand occurrenceof postoperativecomplications were statisticallyanalyzed.ResultsAlloperations were successfully completed.The operation time （ 156.73±36.73 ）minutes，the intraoperative blood loss （35.64±11.47）mL ， the drainage tube removal time （7.14±1.77 ）days，the catheter removal time （10，05±2，73） days，the postoperative hospital stay （13.04±3.79 ）days，and the DJ tube removal time （69.91±9.35） ） days.During the follow-up of 3 to 24 months， re-examinationssuchasBultrasoundandurography indicatednoobvious ureterovesicalanastomotic stenosis；cystography showedonepatienthadureteralreflux.After long-term folow-up，norenalfunctionimpairmentorureteralrefluxwas observed.ConclusionThepapilaryureterovesicalreplantation issafe，effective，simpleandeasytooperate inthe treatment of lowerureteral lesions.Italsohascharacteristicsof shortoperation timeandgoodant-reflux effect，which is worthyof clinical recommendation.

KEY WORDS ： papillary ureterovesical replantation； lower ureteral lesions; laparoscope

中图分类号：R693 文献标志码：A DOI：10.3969/j.issn.1009-8291.2025.08.007

输尿管膀胱再植术是治疗输尿管下段病变及反流性疾病的主要方法[1-2]。（剩余8919字）