Endovascular treatment of ureteral stenosis:a report of 628 cases

VernacularTitle:输尿管狭窄腔内治疗628例疗效分析
Author: Linyong DAI ; Junan YAN ; Ji ZHENG ; Yi ZHI ; Guoxian DENG ; Qianwei LI ; Haoyu WANG ; Weibing LI ; Zhansong ZHOU
Publication Type:Journal Article
Keywords: ureteral obstruction; endoscopy; endovascular treatment; ureterostenosis
From: Journal of Regional Anatomy and Operative Surgery 2016;25(9):669-672
CountryChina
Language:Chinese
Abstract: Objective To summarise and analyze the clinical effecacy of endovascular treatment(internal holmium laser incision,bal-loon dilation,ureter dilator,rigid ureter dilation)for ureteral stricture.Methods The clinical data of 628 patients from January 2010 to Jan-uary 2015 in our hospital were analyzed.The relevant operation indicators,postoperative complications and recovery condition were recorded and analyzed.Results The operation time was 5.5 to 29 minutes,with average time of 16.5 minutes,no ureteral avulsion,ureteral fragmen-tation and massive haemorrhage happened.All patients were followed up for 6 to 36 months,591 cases(94.1%)were cured,29 cases (4.6%)of postoperative stricture recurrence received endovascular treatment again,8 patients(1.3%)conversion to open ureterolithotomy. Conclusion Endovascular treatment of ureteral stricture is diversified within holmium laser incision,it has the advantages of shorter opera-tion time,fewer complications,less trauma,repeatability and so on,which is an effective and safe treatment method.