30例医源性输尿管损伤及狭窄的手术治疗  

Surgical Management of 30 Cases of Iatrogenic Injury or Stricture of the Urter

作　　者：刘芳明[1] 胡映波[1] 

机构地区：[1]江西医学院第二附属医院泌尿外科,江西南昌330006

出　　处：《江西医学院学报》2003年第6期102-103,共2页Acta Academiae Medicinae Jiangxi

摘　　要：目的　探讨不同类型医原性输尿管损伤或因损伤所致狭窄、梗阻的最佳手术治疗方案。方法　总结 1992年至 2 0 0 2年 30例医源性输尿管损伤或因损伤所致狭窄、梗阻的临床病例 ,其中输尿管损伤早期处理、一期修复 2 4例 ,6例因输尿管损伤后狭窄、梗阻行二次以上手术。结果　 30例均手术修复 ,随访 6个月～ 2年 ,出现并发症 2例 ,1例肾切除。结论　医源性输尿管损伤患者宜早期诊断 ,争取一期手术修复。对于损伤后引起的狭窄。Objective To evaluate the optimal operative management of iatrogenic injury of the ureter or ureteric stricture or obstruction due to various kinds of injuries.Methods the surgical experience of 30 cases of injury of the ureter or stricture,or atresia due to ureteric injuries between 1992～2002 was reviewed.Twenty four cases were primarily treated and healed, whereas 6 cases had experienced two or more operations due to ureteric stricture or obstruction.Results Thirty cases were all repaired and had been followed up for 6 months to two years.Complications developed in 2 cases with 1 case undergoing a kindeyctomy.Results Early diagnosis of iatrogenic injury should be expected for primary healing. It is essential to reoperate at the optimal time with proper methods.

关 键 词：医原性疾病 输尿管 创伤和损伤 

分 类 号：R693.5[医药卫生—泌尿科学]