摘要
[目的]分析并总结医源性输尿管损伤的特点及诊断和治疗经验。[方法]对2001年1月至2010年8月间收治的31例医源性输尿管损伤患者的致伤原因、治疗方法和效果予以回顾性分析。[结果]31例患者中,妇产科、普通外科、泌尿外科手术致伤者分别为24例(77.42%)、4例(12.90%)和3例(9.68%)。左侧输尿管损伤18例,右侧损伤13例。术中发现6例,术后1～3d发现24例,术后6d发现1例。输尿管插管成功6例,输尿管修补8例,输尿管结扎线松解3例,输尿管端端吻合13例,输尿管膀胱再植1例。术后随访6～24个月,1例行输尿管膀胱再植术者肾积水减轻。1例6年前因膀胱肿瘤行回肠膀胱术,此次因粘连性肠梗阻行粘连松解致左输尿管离断,而行输尿管端端吻合术者,术后肾积水无明显减轻。其余29例均无明显肾积水。[结论]医源性输尿管损伤患者,如一般情况较好,早期行修复手术,临床疗效较为满意。
[Objective] To analyse and sum up the features, diagnosis and experience of iatrogenic ureter injury. [Method] Trace back and analyse the trauma reason, treatment and result of 31 cases of iatrogenic ureter injury. [ Result ] In 31 cases, there＇re respectively 24 cases （77.42%）,4 cases （12.90%） and 3 cases（9.68%）of operational injury in gynaecology and obstetrics, general surgery and urinary section. 1 case was relieved of uroephrosis with bladder replantation, 1 failed over uroephrosis, other 29 had no marked uroephrosis. [Conclusion] For iatrogenic ureter injury, if the general condition is good, early repair operation can get good results.
出处
《浙江中医药大学学报》
CAS
2012年第3期271-272,共2页
Journal of Zhejiang Chinese Medical University
关键词
输尿管损伤
医源性
诊断
治疗
ureter injury
iatrogenic
diagnosis
treatment
