输尿管镜手术引发输尿管长段撕脱二例报告  

Two cases report of long segment ureteral avulsion caused by ureteroscopy

作　　者：李鸿宾[1] 傅强[1] 陈嵘[1] 郭辉[1] 张楷乐[1] Li Hongbin;Fu Qiang;Chen Rong;Guo Hui;Zhang Kaile(Department of Urology,Shanghai Jiaotong University Affiliated Sixth People’s Hosptial,Shanghai Eastern Institute of Urologic Reconstruction,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院泌尿外科上海东方泌尿修复重建研究所,200233

出　　处：《中华泌尿外科杂志》2021年第1期65-66,共2页Chinese Journal of Urology

摘　　要：随着输尿管镜技术的普及,近年来输尿管撕脱已成为泌尿外科手术中常见的并发症。本文报道2例患者在输尿管镜碎石术中发生长段撕脱,分别行急诊输尿管造瘘、择期回肠代输尿管成形术,以及急诊输尿管修补、择期Boari膀胱肌瓣输尿管成形术,二次手术后分别随访22、17个月,影像学复查均提示替代段输尿管通畅,患侧肾积水较术前缓解。With the popularization of ureteroscopy,ureteral avulsion has become a common complication of urological surgery in recent years.In the study,we reviewed the clinical management of 2 patients who underwent emergency ureterostomy and selective operation of ileoureteral substitution,emergency repair and selective operation of Boari-flap ureteroneocystostomy respectively.After 22 and 17 months of follow-up,no ureter stricture were found,and hydronephrosis were relieved compared with preoperative in both.

关 键 词：输尿管镜检查 并发症 输尿管撕脱 

分 类 号：R699.4[医药卫生—泌尿科学]