膀胱肌瓣输尿管狭窄成形术的手术治疗进展
Progress in Surgical Treatment of Ureteral Strictureplasty with Boari Bladder Flap
DOI: 10.12677/acm.2025.153734, PDF,    国家自然科学基金支持
作者: 凌欣昳, 高 飞*：重庆医科大学附属第一医院泌尿外科，重庆
关键词: 输尿管狭窄；输尿管重建；膀胱瓣；Boari Flap；Ureteral Stricture； Ureteral Reconstruction； Bladder Flap； Boari Flap
摘要: 输尿管狭窄的重建是泌尿外科具有挑战性的手术之一，针对不同位置及长度的狭窄，有多种重建术式可供选择，利用膀胱肌瓣输尿管狭窄成形术是经典修复下段狭窄的术式。本文就膀胱肌瓣输尿管狭窄成形术手术治疗的进展作一综述，供临床参考。
Abstract: Reconstruction of ureteral strictures represents one of the most challenging surgeries in urology. Various reconstructive techniques are available for strictures of different locations and lengths, among which the use of ureteral strictureplasty with Boari bladder flap is a classic approach for repairing lower segment strictures. This article provides a comprehensive review of the advancements in surgical management using ureteral strictureplasty with Boari bladder flap, serving as a clinical reference.
文章引用：凌欣昳, 高飞. 膀胱肌瓣输尿管狭窄成形术的手术治疗进展[J]. 临床医学进展, 2025, 15(3): 1243-1248. https://doi.org/10.12677/acm.2025.153734

参考文献

[1] Burks, F.N. and Santucci, R.A. (2014) Management of Iatrogenic Ureteral Injury. Therapeutic Advances in Urology, 6, 115-124. [Google Scholar] [CrossRef] [PubMed]
[2] Wenske, S., Olsson, C.A. and Benson, M.C. (2013) Outcomes of Distal Ureteral Reconstruction through Reimplantation with Psoas Hitch, Boari Flap, or Ureteroneocystostomy for Benign or Malignant Ureteral Obstruction or Injury. Urology, 82, 231-236. [Google Scholar] [CrossRef] [PubMed]
[3] 熊云鹤, 杨嗣星. 长段输尿管缺损修复技术的演进与技术革新[J]. 中华腔镜泌尿外科杂志(电子版), 2017, 11(4): 215-218.
[4] Benson, M.C., Ring, K.S. and Olsson, C.A. (1990) Ureteral Reconstruction and Bypass: Experience with Ileal Interposition, the Boari Flap-Psoas Hitch and Renal Autotransplantation. Journal of Urology, 143, 20-23. [Google Scholar] [CrossRef] [PubMed]
[5] Demel, R. (1946) Plastic Construction of Ureter from Bladder. Zentralblatt fur Chirurgie, 51, 2001-2008.
[6] Spies, J.W., Johnson, C.E. and Wilson, C.S. (1933) Reconstruction of the Ureter by Means of Bladder Flaps. Experimental Biology and Medicine, 30, 425-426. [Google Scholar] [CrossRef] 
[7] Barnes, R.W. and Farley, S. (1948) Reconstruction of Lower Segment of Ureter with Tube Made from Bladder Flap: Preliminary Report. Journal of Urology, 59, 466-470. [Google Scholar] [CrossRef] [PubMed]
[8] Dunfield, V.M. (1955) Boari Operation in Case of Solitary Kidney: Treatment of Obstruction of Solitary Ureter Following Hysterectomy. AMA Archives of Surgery, 70, 328-332. [Google Scholar] [CrossRef] [PubMed]
[9] Rohde, C. (1937) Ureterersatz aus der Harnblase. Zentralblatt fur Chirurgie, 64, 409-412.
[10] Ockerblad, N.F. (1947) Reimplantation of the Ureter into the Bladder by a Flap Method. Journal of Urology, 57, 845-847. [Google Scholar] [CrossRef] [PubMed]
[11] Flocks, R.H. (1946) Uretero-Vesicle Anastomosis When Proximal Ureter Is Short. Canadian Medical Association Journal, 55, 514-516.
[12] Henderson, D.N. (1951) Boari Operation. Urologic and Cutaneous Review, 55, 80-83.
[13] 应向军, 郭晓, 白志强, 等. 抗反流的回肠代输尿管术治疗长段输尿管狭窄的疗效[J]. 实用医学杂志, 2014, 30(19): 3196-3197.
[14] Zhang, H.X., Zhao, L., Ma, L.L., et al. (2016) Retroperitoneal Laparoscopic Nephrectomy with Autotransplantation for Severe Iatrogenic Ureteral Injury. Journal of Peking University Health Sciences Journal, 48, 622-626.
[15] Radtke, J.P., Korzeniewski, N., Huber, J., Alt, C.D., Pahernik, S., Hadaschik, B.A., et al. (2017) Ureterocystoneostomy in Complex Oncological Cases with an “Uebelhoer” Modified Boari Bladder Flap. Langenbeck’s Archives of Surgery, 402, 1271-1278. [Google Scholar] [CrossRef] [PubMed]
[16] Zhang, Z., Huang, R., Xie, T., Zeng, Q., Liu, L., Zou, X., et al. (2024) Laparoscopic Ureteroneocystostomy with Bladder Flap for Benign Ureteral Stenosis: Our Initial Experience. Scientific Reports, 14, Article No. 2041. [Google Scholar] [CrossRef] [PubMed]
[17] 李永伟, 杨嗣星, 吴天鹏, 等. 螺旋状带蒂膀胱肌瓣输尿管成形术修复全程输尿管损伤的疗效分析(附6例报告) [J]. 临床泌尿外科杂志, 2014, 29(4): 296-299, 303.
[18] Fugita, O.E., Dinlenc, C. and Kavoussi, L. (2001) The Laparoscopic Boari Flap. Journal of Urology, 166, 51-53. [Google Scholar] [CrossRef] [PubMed]
[19] Kolontarev, K., Kasyan, G. and Pushkar, D. (2018) Robot-Assisted Laparoscopic Ureteral Reconstruction: А Systematic Review of Literature. Central European Journal of Urology, 71, 221-227.
[20] Yohannes, P., Chiou, R.K. and Pelinkovic, D. (2003) Rapid Communication: Pure Robot-Assisted Laparoscopic Ureteral Reimplantation for Ureteral Stricture Disease: Case Report. Journal of Endourology, 17, 891-893. [Google Scholar] [CrossRef] [PubMed]
[21] Xu, M., Song, Z. and Liang, C. (2024) Robot-Assisted Repair of Ureteral Stricture. Journal of Robotic Surgery, 18, Article No. 354. [Google Scholar] [CrossRef] [PubMed]
[22] Asghar, A.M., Lee, R.A., Yang, K.K., Metro, M. and Eun, D.D. (2020) Robot-Assisted Distal Ureteral Reconstruction for Benign Pathology: Current State. Investigative and Clinical Urology, 61, S23. [Google Scholar] [CrossRef] [PubMed]
[23] Paquin, A.J. (1959) Ureterovesical Anastomosis: The Description and Evaluation of a Technique. Journal of Urology, 82, 573-583. [Google Scholar] [CrossRef] [PubMed]
[24] Warwick, R.T. and Worth, P.H.L. (1969) The Psoas Bladder-Hitch Procedure for the Replacement of the Lower Third of the Ureter1. British Journal of Urology, 41, 701-709. [Google Scholar] [CrossRef] [PubMed]
[25] Riedmiller, H., Becht, E., Hertle, L., Jacobi, G. and Hohenfellner, R. (1984) Psoas-Hitch Ureteroneocystostomy: Experience with 181 Cases. European Urology, 10, 145-150. [Google Scholar] [CrossRef] [PubMed]
[26] Harada, N., Tanimura, M., Fukuyama, K., Asakura, T., Morimoto, Y. and Hattori, H. (1964) Surgical Management of a Long Ureteral Defect: Advancement of the Ureter by Descent of the Kidney. Journal of Urology, 92, 192-197. [Google Scholar] [CrossRef] [PubMed]
[27] Mauck, R.J., Hudak, S.J., Terlecki, R.P. and Morey, A.F. (2011) Central Role of Boari Bladder Flap and Downward Nephropexy in Upper Ureteral Reconstruction. Journal of Urology, 186, 1345-1349. [Google Scholar] [CrossRef] [PubMed]
[28] Rosenfeld, J., Boehm, D., Raikar, A., Coskey, D., Lee, M., Ji, E., et al. (2024) A Review of Complications after Ureteral Reconstruction. Asian Journal of Urology, 11, 348-356. [Google Scholar] [CrossRef] [PubMed]
[29] Sionov, B.V., Taha, T., Preter, D., Salbaq, R., Engelstein, D. and Tsivian, A. (2021) Re-do Boari flap for recurrent ureteric stricture. International braz j urol, 47, 670-673. [Google Scholar] [CrossRef] [PubMed]
[30] Zhong, W., Du, Y., Yang, K., Meng, S., Lin, R., Li, X., et al. (2017) Ileal Ureter Replacement Combined with Boari Flap-Psoas Hitch to Treat Full-Length Ureteral Defects: Technique and Initial Experience. Urology, 108, 201-206. [Google Scholar] [CrossRef] [PubMed]

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