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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제35권 제2호
- 발행연도
- 2018.1
- 수록면
- 179 - 186 (8page)
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초록· 키워드
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Background: To evaluate the success rate of balloon dilation and the factors possibly influencing the outcomes of balloon dilation for the ureteric strictured portion of ureteroureterostomy (UUS) site in patients with post-gynecologic surgeries. Methods: A single institution data base was screened for the patients who received balloon dilation for a treatment of ureteral stricture diagnosed after gynecologic surgery. Overall 114 patients underwent primary intra-operative UUS due to ureteral injury during gynecologic surgery. Among them, 102 patients received balloon dilation, and their medical records were retrospectively reviewed. Success of balloon dilation was defined as the condition that requires no further clinical interventions after 6 months from balloon dilation. Results: The ureter injury rate of women treated with open radical abdominal hysterectomy was highest (32 cases, 31.4%). 60 patients (60.8%) showed successful outcomes regarding dilation. All patients underwent technically successful dilation with a full expansion of balloon during the procedure, but 40 patients (39.2%) were clinically unsuccessful as they showed a recurrence of ureteral stricture on the previous balloon dilation site after the first dilation procedure. Univariate logistic regression analyses showed that stricture length >2 cm was a significant predictor of successful dilation (odds ratio, 0.751; 95% confidence interval, 0.634-0.901; p-value, 0.030), but it failed to achieve independent predictor status in multivariate analysis. Conclusion: Balloon dilation can an effective alternative treatment option for strictured portion of the primary UUS in post-gynecologic surgery patients when its length is <2 cm.
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등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Nakada SY / 2016 / Campbell-Walsh urology / Elsevier :1104~1147
Janoff D / 2007 / Smith’s textbook of endourology / BC Decker :285~290
Dowling RA / 1986 / Iatrogenic ureteral injury / J Urol 135:912~915
Fry DE / 1983 / Iatrogenic ureteral injury / Arch Surg 118:454~457
Ostrzenski A / 2003 / A review of laparoscopic ureteral injury in pelvic surgery / Obstet Gynecol Surv 58:794~799
Janoff D / 2007 / Smith’s textbook of endourology / BC Decker :285~290
Dowling RA / 1986 / Iatrogenic ureteral injury / J Urol 135:912~915
Fry DE / 1983 / Iatrogenic ureteral injury / Arch Surg 118:454~457
Ostrzenski A / 2003 / A review of laparoscopic ureteral injury in pelvic surgery / Obstet Gynecol Surv 58:794~799
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