关键词: 腺性膀胱炎, 输尿管狭窄, 经尿道电切术, 输尿管膀胱再植术

Abstract: Objective To analyze thetransurethral resection combined with laparoscopic ureterovesical replantation in patients with high-risk glandular cystitis and ureteral stenosis.Methods The clinical data of 6 patients with recurrent high-risk cystitis glandularis with terminal ureteral stenosis admitted to our hospital from May 2016 to March 2020 were retrospectively analyzed.All were high-risk cystitis glandularis,which recurred repeatedly after multiple resections(2 patients who had undergone 2 resections and 4 patients who had undergone 3 or more resections),were accompanied by bilateral ureteral end obstruction,bilateral kidney,ureteral hydrops.The completely transurethral resection combined with laparoscopic ureterocyst reimplantation was used for treatment.Results All 6 patients successfully completed the operation.All patients in this group recovered and were discharged from the hospital 1 week after the operation.They were followed up regularly for 2 years after the operation.One patient was found to have a small recurrence 1 year after the operation and was cured after re-resection.Bilateral renal hydroureter improved continuously in 6 patients,and no cases of ureteral restenosis were found.Conclusion Completely transurethral resection combined with ureteral bladder reimplantation is a safe and feasible treatment method for the treatment of high-risk glandular cystitis with ureteral stenosis.

Key words: cystitis glandularis, ureteral stricture, transurethral resection, ureterovesical reimplantation