现代泌尿外科杂志·专家论坛·阑尾补片联合Boari膀胱肌瓣代输尿管一期修复双侧输尿管狭窄（“大家泌尿网”观看手术视频）肖行远，余秋璇（武汉大学中南医院泌尿外科，湖北武汉430071）One-stagerepairofbilateralureteralstricturebyacombinedBoariflapureteroplastyandappendixgraftureteroplastyXIAOXingyuan,YUQiuxuan(DepartmentofUrology,ZhongnanHospitalofWuhanUniversity,Wuhan430071,China)ABSTRACT:Inrecentyears,ureteralrepairandreconstructiontechniques,suchasappendicealonlayflap,oralmucosalpatchforrepairingmiddleandupperureteralstenosis,andBoaribladdermuscleflapforrepairinglowerureteralstenosis,havebeencontinuouslyintroducedandwidelyusedtoachievesatisfactoryclinicalresults.Inclinicalpractice,itisimportanttocarefullyselectsuitablepatientsandadequatelypreparefortheperioperativeperiod.Factorstoconsiderincludethesurgicalapproach,planningthesequenceofleftandrightreconstruction,toensureoptimalresultsforureteralrepair.Thispaperprovidesadetailedaccountofourcenter'sexperience,reviewsrelevantliteratureonrobot-assistedappendixgraftureteroplastycombinedwithBoariflapureteroplastyforone-stagerepairofbilateralureteralstrictures,anddiscussesthecurrentclinicalprogress.KEYWORDS:bilateralureteralstricture;reconstructivesurgery;robot-assistedsurgery;appendicealonlayflapureteroplasty;Boariflapureteroplasty;one-stagerepair摘要：近年来输尿管修复重建技术不断推陈出新，例如采用阑尾补片、口腔黏膜补片修复中上段输尿管狭窄，,Boari膀胱肌瓣修复下段输尿管狭窄等手术技术均取得了满意的临床效果并得到广泛应用。在临床实践中需注意筛选合适的患者，做好围手术期的准备、手术入路的选择以及左右侧重建顺序的规划，从而达到理想的输尿管修复效果。本文将结合武汉大学中南医院泌尿外科经验及国内外文献，详细介绍机器人辅助下阑尾补片输尿管成形术联合Boari膀胱肌瓣代输尿管术一期修复双侧输尿管狭窄的操作经验，并探讨其目前临床研究进展。关键词：双侧输尿管狭窄；修复重建手术；机器人手术；阑尾补片输尿管成形术；Boari膀胱肌瓣代输尿管术；一期修复中图分类号：R699.4对于泌尿外科医生而言，输尿管狭窄的治疗是一项非常具有挑战性的任务。输尿管狭窄的原因包括医源性损...
