[1]甘艺平,余强国,孙伟桂,等.输尿管镜致输尿管严重损伤的处理[J].中华腔镜泌尿外科杂志(电子版),2010,(04):281-283.
 GAN Yi-ping,YU Qiang-guo,SUN Wei-gui,et al.The management of severe iatrogenic ureteral injury caused by ureteroscopy[J].,2010,(04):281-283.
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输尿管镜致输尿管严重损伤的处理()
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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:
2010年04期
页码:
281-283
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The management of severe iatrogenic ureteral injury caused by ureteroscopy
作者:
甘艺平余强国孙伟桂宋小松范召应肖玮琳
广州医学院附属广佛医院,佛山市南海第二人民医院,佛山,528251
Author(s):
GAN Yi-pingYU Qiang-guoSUN Wei-guiSONG Xiao-songFAN Zhao-yingXIAO Wei-lin
关键词:
输尿管镜输尿管损伤治疗
摘要:
目的 探讨输尿管镜致输尿管严重损伤的处理方法.方法 回顾性分析我院2 876例输尿管镜诊疗过程中15例输尿管严重损伤的临床资料.15例中,输尿管断裂4例,均行输尿管吻合术;输尿管全层撕脱4例,其中1例行肾下移输尿管膀胱瓣吻合,2例行回肠代输尿管术,1例行肾切除术;输尿管黏膜袖套样剥离7例,其中4例内置双J管引流,1例行输尿管膀胱瓣吻合,2例行回肠代输尿管术.结果 所有患者均经随访3个月~3年,1例出现输尿管末端狭窄闭锁,行输尿管膀胱再植术后治愈,1例因反复肾感染行肾切除外,余13例均无异常.结论 输尿管镜手术致输尿管严重损伤时,及时发现损伤并按损伤类型不同,分别采用输尿管吻合、输尿管膀胱吻合、回肠代输尿管等方法处理,疗效满意,预后好.

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更新日期/Last Update: 1900-01-01