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1例真性张力性尿失禁患者,在电子腹腔镜下行Butch阴道悬吊术,将膀胱颈两侧阴道壁缝至耻骨韧带。手术顺利。术后第2天感右腰部疼痛,体温38℃,静脉尿路造影示右膀胱三角区升高,右侧输尿管和右肾积水,膀胱镜检查示膀胱底及右壁严重变形,右输尿管开口处显示不清。剖腹探查见一缝线穿过膀胱右壁,连同膀胱三角缝至耻骨联合下。拆除缝线,切开膀胱,于右侧输尿管开口处放入Stent输尿管支架管,再行Burch阴道悬吊术。6周后内窥镜下取出支架管,3月后复查B超示右肾正常。
One patient with true tension incontinence underwent laparoscopic Butch vaginal sutures that slit the vaginal wall of the bladder neck to the pubic ligaments. The operation goes well. On the second day after operation, he felt pain in the right lumbar region at 38 ° C. Venous urography showed elevated right trigone area, right ureter and right hydronephrosis, and cystoscopy showed severe deformity of the bladder bottom and right wall. The right ureter opening Unclear A laparotomy is performed to see a suture through the right wall of the bladder, together with the trigone of the bladder to the pubic symphysis. Remove the suture, cut the bladder, placed in the right ureteral opening Stent ureteral stent tube, then Burch vaginal suspension. After 6 weeks, the stent was removed under the endoscope. After 3 months of review, B-ultrasound showed that the right kidney was normal.