CAJ | 학술논문

目的分析下腹及盆腔术中泌尿系脏器损伤的原因、诊断和治疗方法.方法回顾分析下腹及盆腔手术并发泌尿系脏器损伤的33例病例的临床资料.结果 33例患者均能顺利行修复手术,其中Ⅰ期修复31例、Ⅱ期修复2例.随访6～ 24个月,输尿管损伤后超过2周修复的2例出现患侧肾积液,ECT检查提示功能减退,其余病例均预后良好,无出现其他并发症.结论在进行下腹部及盆腔术时,术前充分准备、术中小心操作能预防泌尿脏器损伤,而术中及时发现和处理损伤脏器则是影响预后的关键.
목적 분석하복급분강술중비뇨계장기손상적원인、진단화치료방법.방법 회고분석하복급분강수술병발비뇨계장기손상적33례병례적림상자료.결과 33례환자균능순리행수복수술,기중Ⅰ기수복31례、Ⅱ기수복2례.수방6～ 24개월,수뇨관손상후초과2주수복적2례출현환측신적액,ECT검사제시공능감퇴,기여병례균예후량호,무출현기타병발증.결론 재진행하복부급분강술시,술전충분준비、술중소심조작능예방비뇨장기손상,이술중급시발현화처리손상장기칙시영향예후적관건.
Objective To analyze the experience of the cause,diagnosis and treatment of hypogastrium and pelvic cavity surgery urinary organs injuries.Methods Retrospective analysis was used to analyze the hypogastric and pelvic surgery complicated with urinary organs injury clinical data of 33 cases.Results 33 patients have been repaired surgery successfully,including early repair of 31 cases,2 cases in Ⅱ phase.All cases were followed up for 6-24 months,there are 2 cases of effusion,renal function decline in the injured side,because of ureteral injury in time for more than 2 weeks.The remaining cases are good prognosis,no other complications.Conclusion Full preoperative preparation and intraoperative careful operation can prevent urinary organ damage occurring in the hypogastric and pelvic surgery.Intraoperative timely detection and repairing urinary organs injuries are the key to influence the prognosis.