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本文总结了11例输尿管手术损伤的诊治体会,讨论了致伤原因、诊治要点以及处理原则。认为输尿管手术损伤的主要原因为局部解剖关系不清,分离肿瘤时盲目大块缝扎止血所致;如盆腔及腹部手术后出现持续性单侧腰部胀痛,并逐渐加重伴恶心、呕吐或不明原因的发热、肾区叩击痛者,可作B超及排泄性尿路造影,以明确诊断;确诊后应尽快恢复正常的排尿通路和保护肾脏功能,并依据损伤程度、部位、时间等决定手术方法。
This article summarizes the 11 cases of ureteral injury diagnosis and treatment experience, discusses the causes of injury, treatment and treatment principles and principles. That the main reason for ureteral injury is anatomical local anatomy is unclear, the separation of the tumor caused by blind large suture hemostasis; such as pelvic and abdominal surgery after persistent unilateral lower back pain, and gradually increase with nausea, vomiting or unknown Causes of fever, perineal percussion pain, can be used for B-and urinary tract urography to confirm the diagnosis; diagnosis should be promptly restored to the normal urinary access and protection of renal function, and based on the degree of injury, location, time and other decisions Surgical methods.