论文部分内容阅读
目的探讨医源性输尿管损伤的原因、治疗和预防措施。方法本组68例中,术中发现52例,输尿管修补术18例,输尿管端端吻合术16例,输尿管膀胱吻合术13例,输尿管镜或膀胱镜下逆行插双J管保守治疗5例,其余16例术后根据病史、肾分泌造影(IVU)、逆行造影、三维CT等检查后,再进行相应手术。结果本组68例均获痊愈,所有患者肾功能恢复正常。结论细致规范手术操作,及早发现处理,是预防和治疗医源性输尿管损伤的有效方法。
Objective To investigate the causes, treatment and preventive measures of iatrogenic ureteral injury. Methods In this group of 68 cases, 52 cases were found during operation, ureter repair in 18 cases, ureteral end anastomosis in 16 cases, ureteral anastomosis in 13 cases, ureteroscopy or cystoscopy retrograde double J tube conservative treatment in 5 cases, The remaining 16 patients after surgery based on history, renal angiography (IVU), retrograde angiography, three-dimensional CT and other tests, and then the appropriate surgery. Results The group of 68 patients were cured, all patients returned to normal renal function. Conclusion Detailed specification of surgical operation, early detection and treatment, is an effective way to prevent and treat iatrogenic ureteral injury.