摘要
目的:探讨腔内泌尿外科学技术治疗医源性输尿管损伤的疗效。方法:回顾性分析腔内泌尿外科技术治疗的28例医源性输尿管损伤患者的临床资料,其中输尿管上段1例,中段3例,下段24例,分别采用经尿道输尿管镜下置入双J管等方法进行治疗。结果:16例患者经尿道输尿管镜下顺利置入双J管后治愈,同期行经皮肾穿刺造瘘4例。12例患者行输尿管镜明确诊断但置双J管失败,改行开放手术修复治愈。双J管于术后1～2个月后拔除,4～6周拔除肾造瘘管。术后随访6个月～2年,患侧尿路连续性恢复,输尿管通畅,肾输尿管积水明显减轻或正常。7例术后出现狭窄需再次行手术治疗。结论:输尿管镜检利于明确诊断,置入双J管是处理医源性输尿管损伤的有效方法,具有疗效可靠、创伤小、患者易于接受等优点。
Objective：To investigate the clinical efficacy for treatment of iatrogenic ureteral injury with endourology technology.Methods：A retrospective analysis of 28 patients for treatment of iatrogenic ureteral injury with endourology technology was conducted（upper ureter：1 case,the middle：3 cases,lower ureter：24 cases）.Transurethral ureteroscopic D-J tube was used for the treatment of iatrogenic ureteral injury,and the relation between treatment and prognosis was analyzed.Results：Of the 28 operated cases,success had been achieved in 16,4 cases with percutaneous nephrostomy at the same time,12 cases converted to open surgical repair and cured.All the D-J tube was removed in 1-2 months after sugery,and removal of nephrostomy was in 4-6 weeks.A surgical cure in 13 cases,7 patients had recurrent stenosis need to operation again.All cases have been followed up for 6 months to 2 years.The continuity of the affected side restored urinary tract,ureteral patency,and renal hydroureter significantly reduced or normal,which were confirmed by intravenous urography.Conclusion：Transurethral ureteroscopic D-J tube placement is an effective technology to cure ureteral iatrogenic injury,with the advantages of effective and reliable,less invasive,and easily accpted by patients.
出处
《东南大学学报（医学版）》
CAS
2012年第2期189-192,共4页
Journal of Southeast University(Medical Science Edition)
关键词
输尿管损伤
输尿管镜
治疗
医源性疾病
ureteral injury
ureteroscopy
treatment
iatrogenic disease
