医源性输尿管损伤的早期诊断和治疗

医源性输尿管损伤的早期诊断和治疗
尹华军;赖维奇;赵继辉;晏斌
【期刊名称】《四川医学》
【年(卷),期】2012(33)5
【摘要】To explore the optimal methods of early diagnosis and management of iatrogenic ureteric injuries so as to improve the success rate of surgery and to reduce the occurrence of complications. Methods A retrospective analysis was performed on 22 patients iatrogenic ureteric injuries over the recent 10 years(1999-2009). The methods for management were reviewed and the outcome assessed. Results Of the 16 early patients, underwent primary repair of the injuries; 6 patients presenting late had primary repair of the injuries in 1 -5months. Follow-up ranged from 1 to 4 years in 22 patients. Hydronephrosis were relieved in 20 cases of them. Conclusion For iatrogenic ureteral injury patients, if the condition permitting, primary repair can achieve good therapeutic effects whether early or late.%目的探讨医源性输尿管损伤的早期诊断和最佳治疗方案,提高手术成功率,减少合并症的发生.方法对1999至2009年22例医源性输尿管损伤患者进行回顾性研究.分析治疗方法和预后及并发症之间的关系.结果 16例术中发现输尿管损伤患者立刻行手术修复成功.6例术后确诊患者,1～5个月后手术,均一期手术修复成功.22例均获得随访1～4年,无严重并发症.结论医源性输尿管损伤患者一般情况较好时,无论确诊时间早晚,均可考虑一期手术修复.
【总页数】2页(P849-850)
【作者】尹华军;赖维奇;赵继辉;晏斌
【作者单位】成都市新都区人民医院外科,四川成都610500;成都市新都区人民医院外科,四川成都610500;成都市新都区人民医院外科,四川成都610500;成都市新都区人民医院外科,四川成都610500
【正文语种】中文
【中图分类】R693+.5
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