[1]邵远,沈周俊,芮文斌.半硬质输尿管镜操作引起输尿管或肾实质穿通损伤的分析[J].中华腔镜泌尿外科杂志(电子版),2009,(06):465.
　SHAO Yuan,SHEN Zhou-Jun,RUI Wen-Bin.Perforation of ureter and renal parenchyma during semirigid ureteroscopy[J].,2009,(06):465.
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半硬质输尿管镜操作引起输尿管或肾实质穿通损伤的分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2009年06期
页码:
465
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Perforation of ureter and renal parenchyma during semirigid ureteroscopy
作者:
邵远; 沈周俊; 芮文斌
上海交通大学医学院附属瑞金医院泌尿外科,上海,200025
Author(s):
SHAO Yuan; SHEN Zhou-Jun; RUI Wen-Bin
关键词:
穿孔; 输尿管镜; 气压弹道碎石
摘要:
目的 提高对半硬质输尿管镜操作中的穿通性损伤发生的认识及预防能力.方法 回顾性分析2004年9月至2008年10月间我科收治的半硬质输尿管镜操作所致泌尿系统损伤11例,其中输尿管穿孔4例,输尿管假道2例,结石穿出输尿管3例,肾实质穿通性损伤2例. 结果输尿管损伤者中6例接受手术修补输尿管并留置双J管，3例输尿管假道或结石穿出者在输尿管镜下放置双J管.术后三至四周拔除双J管,均恢复良好.对肾实质穿孔者,1例采用手术引流,1例证实为肾结核而行患肾切除并抗结核治疗而治愈. 结论输尿管或肾实质穿孔是半硬质输尿管镜操作中的较重并发症.正确的病例选择、良好的手术视野和尽可能低的灌注压力有利于避免这些并发症的发生.

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更新日期/Last Update: 1900-01-01