摘要
作者分析了１７例２０侧医源性输尿管损伤的诊断和治疗经验。损伤主要为妇科、普通外科手术所致。根据患者表现选行Ｂ超、ＩＶＵ和膀胱镜检加逆行造影或注入染料确诊。本组患者经输尿管端端吻合术４例，输尿管插管引流术１例，解结术加输尿管双Ｊ管１例，输尿管膀胱吻合术１０例，膀胱腰大肌固定术加输尿管膀胱吻合术１例；肾切除术２例。随访３月～５年，经修复手术的患者肾功能恢复良好。作者认为术式的选择应根据输尿管损伤的部位和长度。发生损伤后２～３周内手术是可行的。及时发现输尿管损伤并恰当处理效果良好，诊断延迟会造成处理困难，失肾机会增加。
Diagnosisandtreatmentof17patientswhosustained20iatrogenicureteralinjurieswereanalyzed.Primaryoperationsinwhichureteralinjuryoccuredarealmostgynecologicproceduresandgeneralsurgery.Injuiesweremanagedbyureteroureterostomyinfour,ureteralstentinone,removalsutureligationandureteraldoubleJ-catheterinone,ureteroneocystostomyinten,psoas-hitchtech-niqueandureteroneocystostomyinone,nephrectomyintwo.Alpatientswithappropriaterepairwerefolowed-upperiodsofthretofiveyears.Renalfunctionofthesepatientshadoptimalresults.Whenureteralinjuryoccurs,B-US,IVU,cystoscopy,retrogradeureterographyorinfusionofdyemaybeuse-ful.Anappropriaterepairshouldbechosenacordingtolengthandpositionofureteralinjuries.Reop-erationwasoptimalintwotothreweeks.Immediaterecognitionofacidentalureteralinjuryprovidesoptimalresults.Patientswithunrecognizedinjurieshadsuboptimalresults.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第12期720-722,共3页
Chinese Journal of Surgery
关键词
输尿管损伤
诊断
治疗
医源性
PostoperativecomplicationsUreterDiagnosi
