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泌尿外科手术及操作致输尿管损伤17例分析

Analysis on 17 Cases of Iatrogenic Ureteral Injuries in the Operation of Urinary Surgery

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【作者】 江先汉李清荣郭燕东邓立文张文海

【Author】 Jiang Xianhan 1 Li Qingrong 2 Guo Yandong 1, et al. (1. Department of Urology, Gangwan Hospital, Guangzhou 510700; 2. Department of Urology, Guangzhou General Hospital of PLA, Guangzhou 510010)

【机构】 广州港湾医院泌尿外科广州军区总医院泌尿外科中山大学第一附属医院黄埔院区泌尿外科广州港湾医院泌尿外科 广州510700广州510010广州510700广州510700

【摘要】 目的 :探讨泌尿外科手术及操作致输尿管损伤的预防和治疗。方法 :分析 17例泌尿外科手术及操作致输尿管损伤的原因 ,总结其治疗方法。开放手术修补损伤 8例 ,黏膜脱垂剥脱 3例 ,复位后置双J管引流 ,单纯置双J管引流 2例 ,4例碎石后再置双J管引流。结果 :13例患者输尿管连续性、完整性恢复良好 ,4例患者肾轻度积水 ,其中 3例肾功能正常。结论 :泌尿外科手术及操作致输尿管损伤应重在预防 ,争取早发现 ,及时处理 ,预后良好

【Abstract】 Objective: To research the prevention and treatment of ureteral injuries in the operation of urinary surgery. Methods: To analyse the cause of 17 cases of ureteral injury, and summarize its treatment method. 8 cases were repaired in open operation, and three injuryed ureter were placed D-J tubes to drain after having replaced, and two cases were single placed D-J tube to drain, and other four cases were placed D-J tube to drain after lithoclasty. Results: The ureteral continuity and integrity were restored very well in 13 cases and suffering kidneys were lightly dropsical in four cases, of which three cases’kidney functions were normal. Conclusion:The emphasis of ureteral injury in the operation of urinary surgery is prevention, and try best to discovery and treat early. In so doing,the result is good.

  • 【文献出处】 中国临床医学 ,Clinical Medical Journal of China , 编辑部邮箱 ,2004年04期
  • 【分类号】R699
  • 【被引频次】3
  • 【下载频次】52
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