论文部分内容阅读
目的 :避免或减少外科手术时输尿管损伤 ,提高对输尿管损伤后的诊断和治疗水平。方法 :采用临床统计学方法 ,回顾性分析我院 1 0年间医源性输尿管损伤 34例。结果 :损伤主要为妇科、普通外科手术所致 ,其次为输尿管镜取石。结论 :术中术野渗液增多 ,输尿管扩张 ,术后出现腰腹痛 ,不明原因发热 ,阴道及伤口漏尿 ,无尿或腹腔积液时应考虑输尿管损伤的可能 ,延误诊治会造成处理困难甚至增加失肾机会。非泌尿科医师施行输尿管相关手术时 ,熟悉局部解剖并注意局部病变引发的正常解剖变异 ,是防止医源性输尿管损伤的关键
Objective: To avoid or reduce ureteral injury during surgery and improve the diagnosis and treatment of ureteral injury. Methods: The clinical statistic method was used to retrospectively analyze 34 cases of iatrogenic ureteral injury in our hospital for 10 years. Results: The main injuries were gynecology and general surgery, followed by ureteroscopy. Conclusion: Intraoperative exudate surgery increased ureteral dilatation, postoperative abdominal pain, unexplained fever, vaginal and wound leakage of urine, urine or peritoneal effusion should consider the possibility of ureteral injury, delay in diagnosis and treatment will cause treatment difficulties or even Increase the chance of kidney loss. When non-urologists perform ureteral-related surgery, familiarity with local anatomy and attention to normal anatomic variations induced by local lesions are key to preventing iatrogenic ureteral injury