医源性输尿管损伤21例临床分析  

Clinical Analysis of Iatrogenic Ureteral Injuries(21 cases)

作　　者：宋宇[1] 徐志文[1] 刘铁柱[1] 唐秀泉[1] 于景江[1] 

机构地区：[1]大庆油田总医院,黑龙江大庆163001

出　　处：《黑龙江医学》2010年第2期139-141,共3页Heilongjiang Medical Journal

摘　　要：目的探讨医源性输尿管损伤的原因、类型、处理和预防。方法回顾性分析21例医源性输尿管损伤的临床资料。损伤的原因为:输尿管逆行插管(双J管)10例;输尿管切开取石后修补术4例;因肾脏已有重度积水,行肾切除术1例;输尿管缝扎松解4例;输尿管端端吻合术2例。结果术后随访21例病人,肾功能均正常,无肾盂积水。结论输尿管损伤的部位和类型决定了治疗的方式;全面认识输尿管解剖,术前详细掌握病情及采取一定的预防措施,是防止输尿管损伤的关键;当输尿管损伤时,掌握诊断步骤、熟悉治疗原则,是提高医源性输尿管损伤治愈率的关键。Objective To discuss the cause,type,diagnosis,treatment and precaution of iatrogenic ureteral in juries（IUI）.Methods The clinical data of 21 patients with IUI in our hospital were analyzed retrospectively.Conservation cure（double J tube） on 10 patients,repair of ureter was on 4 patients,nephrectomy in 1 patients by serious hydronephrosis,4 cases by ureter oeystoneostomy,ureter oureterostomy was carried out on 2 patients.Results All the 21 patients were cured.Conclusion The location and type of injury determine the type of surgical repair.A thorough knowledge of pelvic anatomy and mastering the basic steps of diagnosis and treatment are critical for prevention and management of the iatrogenic urerteral injury.

关 键 词：医源性 输尿管损伤 

分 类 号：R693.5[医药卫生—泌尿科学]