医源性输尿管损伤和继发狭窄的治疗进展  

Progress in treatment of iatrogenic ureteral injury and secondary ureteral stricture

作　　者：王毅[1] 于德新(审校)[1] WANG Yi;YU Dexin(Department of Urology,Second Hospital Affiliated to Anhui Medical University,Hefei,2306019 China)

机构地区：[1]安徽医科大学第二附属医院泌尿外科,合肥230601

出　　处：《临床泌尿外科杂志》2020年第9期752-757,共6页Journal of Clinical Urology

摘　　要：医源性输尿管损伤和继发狭窄是手术和放射治疗中比较常见的并发症,其治疗方法取决于输尿管损伤诊断的时间、损伤的程度和继发输尿管狭窄情况。传统的输尿管修复重建手术以开放手术为主,现在随着微创技术的广泛应用,腔内及腹腔镜下修复与重建已成为治疗输尿管损伤和狭窄的主要手术方式,并取得了令人满意的效果。移植物替代是修复复杂输尿管缺损和狭窄的常用方法,多种自体组织可作为输尿管修复的替代物,组织工程方面的研究进展给输尿管修复带来了希望,但仍有更多工作需要努力完成。本文就医源性输尿管损伤和狭窄治疗进展作一简要综述。Iatrogenic ureteral injuries and strictures are relatively common complication of surgery and radiation treatment. The choice of treatment depends on the time of diagnosis of ureteral injury, degree of injury and the assessment of ureteral stenosis. The traditional ureteral repair and reconstruction surgery is open surgery. However, with the extensive application of minimally invasive technology, endovascular and laparoscopic reconstructive surgeries have become the main methods for ureteral injury and stenosis, and satisfactory results have been achieved. Graft replacement is a common method to repair the complex ureteral defects and strictures, and a variety of autologous tissues can be used as substitutes for ureteral repair. Advances in tissue engineering offer hope for ureteral repair, but more work needs to be done. This review is aimed at giving an outline of the progress in the treatment of iatrogenic ureteral injury and stenosis.

关 键 词：医源性 创伤 输尿管狭窄 重建手术 

分 类 号：R693[医药卫生—泌尿科学]