输尿管坐骨孔疝的诊治进展
Advances in the diagnosis and treatment of ureterosciatic hernia
赵真 1罗飞 1陈雅童 1王亚申 1李健1
作者信息
- 1. 天津市人民医院泌尿外科,南开大学人民医院转化医学研究院,天津 300131
- 折叠
摘要
输尿管坐骨孔疝是盆底疝的一种罕见类型,该病临床症状缺乏典型性,受累输尿管可继发上尿路梗阻并进一步引起肾盂肾炎、腰腹痛、肾功能不全等.截至目前全世界报道的输尿管坐骨孔疝患者不足40例,临床医师对输尿管坐骨孔疝的诊治水平有待强化.目前输尿管坐骨孔疝常用的治疗方法包括积极监测、手法复位、输尿管支架置入术、外科手术修补,其中腹腔镜下疝修补术的安全性和有效性逐渐得到认可.本文就输尿管坐骨孔疝诊治方法的最新进展进行综述.
Abstract
Ureterosciatic hernia is a rare type of pelvic floor herniation with no typical symptoms.The resulting ureteral obstruction may lead to hydronephrosis and complications such as urinary tract infection and urosepsis.Fewer than 40 ureterosciatic hernia cases have been reported all over the world.Active surveillance,manual reduction,ureteral stenting and surgical repair are common treatment options.Among them,the safety and effectiveness of laparoscopic herniorrhaphy have been recognized.This article review the advances in the diagnosis and treatment of ureterosciatic hernia.
关键词
输尿管坐骨孔疝/腹腔镜/输尿管支架/肾积水/疝修补术Key words
ureterosciatic hernia/laparoscopic/ureteral stent/hydronephrosis/herniorrhaphy引用本文复制引用
出版年
2024