摘要
目的分析及探讨输尿管镜治疗输尿管结石致输尿管损伤的原因和防治措施。方法 2007-07—2012-07,对510例输尿管结石采用输尿管镜行气压弹道和超声碎石,其中15例发生输尿管损伤。对损伤的原因及防治措施进行分析。结果 15例并发症(2.9%)中,输尿管穿孔12例(2.3%),其中输尿管中段结石8例,下段及末端结石4例,10例术中立即留置双J管成功,2例改为腹腔镜下输尿管切开取石。输尿管黏膜下假道1例(0.1%),术中留置双J管成功。输尿管黏膜不完全撕脱2例(0.3%),因撕脱长度较短,改为开放手术处理。结论输尿管镜手术为常见的泌尿外科手术,安全性相对较高,但术中可变性较大,正确操作手法及丰富经验,对避免输尿管损伤极为重要。
Objective Analysis and discussion of the causes and prevention measures caused by ureteroscopic treatment of ureteral cal-culi ureteral injury occurred. Methods July 2007 to July 2012, 510 cases of ureteral stones,by ureteroscopic treatment, treatment using pneu-matic ballistic and ultrasound, 15 cases of ureteral injury which occurred analysis of the causes, treatment and prevention measures. Results The group of 15 patients with ureteral perforation 12 cases, of which 10 cases were immediately given indwelling double J tube suc-cessfully converted to Laparoscopic ureterolithotomy in two cases ; Ureteral submucosal false way one cases, indwelling double J tube surgery successful ; Ureteral mucosa avulsion two cases were converted to open surgery. Conclusion Ureteroscopy was common urological surgery, se-curity is relatively high,But during the operation,the variability is bigger,so surgery operating practices and a wealth of operating experience, is extremely important to avoid damage to the ureter.
出处
《河南外科学杂志》
2013年第4期14-16,共3页
Henan Journal of Surgery
