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Method of plasty of ureteric strictures

机译:输尿管狭窄的成形方法

摘要

The invention relates to medicine, in particular to urology and can be used for plasty of ureteric strictures.The method of plasty of ureteric strictures consists in that it is performed the percutaneous classical nephrostomy, then in 3 days is proceeded to the minimally invasive nephrourethroscopic intervention, by means of which is transposed and fixed in the ureter in the suprastenotic portion a cylindrical magnet with an induction of 5 mT, made with a through hole on the longitudinal axis and with the sharpened positive pole, the diameter of the magnet is equal to the diameter of the ureter, then is performed the transvesical urethroscopy and is transposed in the infrastenotic portion of the ureter another cylindrical magnet with an induction of 5 mT, made with a through hole on the longitudinal axis and with the negative V-shaped pole, the two magnets are placed in the ureter with the positive acute pole and the negative V-shaped pole towards each other. Also, in the ureter by means of the cystoscope is installed a guide of stainless steel with a diameter of 0.5 mm and a length equal to 2/3 of the ureter length, placed in the supra- and infrastenotic portion of the ureter. After 4 weeks is performed the computed tomography and in the event if it is observed the connection of magnets in the ureter, the magnet is extracted from the suprastenotic portion with the endoscope and from the infrastenotic portion is extracted with the cystoscope together with the guide of stainless steel, is excised the strictured portion within the limits of healthy tissues and are applied end-to-end sutures, afterwards is removed the nephrostomy, is sutured the wound in layers, and in the bladder is placed a Foley-type urinary catheter and is applied a sterile bandage.
机译:本发明涉及医学,尤其涉及泌尿外科,可用于输尿管狭窄的成形术。输尿管狭窄的成形方法是先经皮经典肾造口术,然后在3天内进行微创肾镜检查。通过将其磁化强度为5 mT的圆柱状磁体置入并固定在超张性部分的输尿管中,该磁体在纵轴上具有通孔并带有尖锐的正极,磁体的直径等于输尿管的直径,然后进行膀胱输尿管镜检查,并在输尿管的次骨部分中放置另一个感应强度为5 mT的圆柱形磁体,该磁体在纵轴上具有通孔,且具有负V形磁极,将两个磁铁放置在输尿管中,正极正极和V形负极彼此相对。另外,借助于膀胱镜在输尿管中安装有不锈钢导引器,其放置在输尿管的上,下输精管部分,该不锈钢的直径为0.5mm,长度等于输尿管长度的2/3。 4周后进行计算机断层扫描,如果观察到输尿管中有磁铁连接,则用内窥镜从膀胱上部分摘除磁铁,并用膀胱镜从输卵管下部分摘除磁铁,并与导管一起引导。不锈钢,在健康组织范围内切除狭窄部分,并端对端缝合,然后移开肾造口术,将伤口缝合,然后在膀胱中放置Foley型导尿管和使用无菌绷带。

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