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严重医源性输尿管损伤的诊治分析 被引量：5

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摘要 目的:探讨严重医源性输尿管损伤发生原因及诊治方法。方法:回顾性分析2002-2010年我院诊治的43例严重医源性输尿管损伤患者的临床资料。结果:43例患者中妇产科手术损伤34例,泌尿外科6例,普外科3例。37例行输尿管镜下放置双J管术,23例(62.2%)获得治愈,其中有4例先后行了2次输尿管镜下放置双J管术后获得治愈。7例行输尿管端端吻合术、5例行输尿管膀胱再植术、6例行输尿管膀胱瓣吻合术及1例回肠代输尿管术均获得治愈。1例行患肾切除术。随访3～33个月(平均10.2个月),无明显并发症出现。结论:熟悉局部解剖、细致规范手术是预防严重医源性输尿管损伤的关键;根据严重医源性输尿管损伤的部位、时间和类型,分别采用输尿管镜下放置双J管、输尿管端端吻合、输尿管膀胱再植、输尿管膀胱瓣吻合、回肠代输尿管等方法处理,疗效满意。
作者 姜少军 谢克基 蔡岳斌 邓向荣 王斌 韦兴华 钟惟德 胡建波
机构地区 广州医学院附属广州市第一人民医院泌尿外科 南方医科大学
出处 《实用医学杂志》 CAS 北大核心 2011年第14期2619-2621,共3页 The Journal of Practical Medicine
关键词 输尿管 损伤 医源性疾病
分类号 R699 [医药卫生—泌尿科学]
  • 相关文献

参考文献13

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二级参考文献20

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共引文献10

同被引文献32

  • 1陈晓鹏,汤坚强,李学松,韩文科,何志嵩,周利群,郝金瑞,郭应禄.回肠代输尿管术治疗长段输尿管缺损一例报道并文献复习[J].中华临床医师杂志（电子版）,2011,5(8):2410-2413. 被引量：15
  • 2张大宏,郑珉,王志敏,程新登,丁国庆,陈岳兵,余大敏,李新德.腹腔镜输尿管吻合术[J].中华泌尿外科杂志,2005,26(1):42-44. 被引量：18
  • 3王荫槐,刘任,赵小昆,杨罗艳,杨金瑞,张选志.医源性输尿管损伤的早期诊断和治疗[J].临床泌尿外科杂志,2006,21(12):910-911. 被引量：25
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引证文献5

二级引证文献23

实用医学杂志
2011年 第14期

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