输尿管结石致自发性输尿管破裂1例报告并文献复习  

One Case of Spontaneous Ureteral Rupture Caused by Calculus and Review of the Literature

作　　者：萧如凯 王学科 王宏臻 符定军 祝华 

机构地区：[1]厦门长庚医院泌尿外科,福建厦门361028

出　　处：《中外医疗》2016年第33期80-82,共3页China & Foreign Medical Treatment

摘　　要：目的探讨自发性输尿管破裂的临床特点、诊断及治疗。方法回顾性分析该院于2014年9月收治的1例输尿管下段结石引起自发性输尿管破裂患者的临床资料,并结合国内外文献分析其病因、发病机制和诊疗方式。结果临床上自发性输尿管破裂较为少见,最常见为输尿管结石梗阻所引起。采用输尿管镜碎石术对患者进行治疗,术后给予抗感染治疗,患者恢复良好,术后10 d拔除尿管,术后2周拔除后腹腔引流管并顺利出院。结论腹部CT平扫+增强及延迟扫描可为诊断自发性输尿管破裂提供最直接有效的证据,治疗的主要目的是尽早解除梗阻,方法以输尿管DJ管引流为主。Objective To investigate the clinical characteristics of spontaneous rupture of the ureter, diagnosis and treatment. Methods A retrospective analysis of our hospital in September 2014 admitted to one case of lower ureteral stones lead to spontaneous rupture of the ureter in patients with clinical data, combined with domestic and foreign literature analyzes the etiology, pathogenesis and treatment method. Results Clinical spontaneous rupture of the ureter is rare, the most common cause of ureteral stone obstruction. After treatment, the patients were given anti infection treatment, the patients recovered well, 10 days after the operation, the catheter was removed 2 days after surgery. Conclusion Enhanced abdominal CT scan and delayed scan for the diagnosis of spontaneous rupture of the ureter to provide the most direct evidence of effectiveness is the main goal of treatment is to remove the obstruction as soon as possible, method D-J ureteral drainage based.

关 键 词：输尿管结石 并发症 输尿管破裂 自发性 

分 类 号：R693.4[医药卫生—泌尿科学]