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患者,女,26岁。1985年9月4日因难产在某院行剖腹子宫切除术。术中损伤右侧输尿管下段,作输尿管中段造瘘。术后9天出现弥慢性腹膜炎、尿毒症,再次剖腹探查,见腹腔积脓性液体约2000ml,左输尿管下段损伤被缝扎,又作左输尿管下段造瘘。病情危重,9月27日转来我院。入院后左侧造瘘管脱出,右侧造瘘管与阴道均流出脓性尿液。10月23日作双侧经皮肾穿刺造影,证实左输尿管至盆腔形成盲端,右侧输尿管内造影剂至第5腰椎横突平面中断。经左侧造瘘管注入美监,阴道内有美监流出。诊为左侧输尿管下端损伤闭锁并输尿管盆腔阴道瘘;右侧输尿管下段缺损。1986年5月20日经下腹部正中切口入腹腔,见广泛肠粘连;阑尾细长,与后腹膜有膜状粘连,无明显炎症。游离左输尿管并与膀胱吻合。游离右输尿管,下
Patient, female, 26 years old. September 4, 1985 because of dystocia in a hospital cesarean hysterectomy. Intraoperative damage to the right lower ureter for ureteral fistula. Chronic peritonitis and uremia appeared 9 days after operation. Again exploratory laparotomy, see about 2000ml of ascitic suppurative fluid, the left lower ureteral injury was sutured, and the lower left ureter was fistula. Serious illness, September 27 transferred to our hospital. Left fistula catheterization after admission, fistula and vagina on the right flow of purulent urine. October 23 for bilateral percutaneous renal biopsy confirmed that the formation of the left ureter to the pelvis to the blind side of the right ureter to the fifth lumbar intervertebral transverse plane imaging discontinuance. The left fistula into the United States supervision, the United States within the vagina outflow. Diagnosis of the lower ureter at the injury atresia and ureteral pelvic vaginal fistula; the lower right ureter defect. May 20, 1986 by the middle of the lower abdomen incision into the abdominal cavity, see extensive intestinal adhesions; appendix slender, with retroperitoneal membranous adhesions, no significant inflammation. Free left ureter and anastomosis with the bladder. Free right ureter, under