CAJ | 학술논문

目的：总结医源性输尿管损伤的诊治体会和预防措施。方法回顾性分析重庆市荣昌县人民医院2006年1月至2014年1月共26例医源性输尿管损伤患者的诊断、治疗及随访过程,并结合文献进行总结。结果所有26例患者中,25例均在术中确诊,1例术后2 d 确诊。采取恰当的手术方式后无漏尿、尿路感染及血尿等并发症发生。随访3~24个月所有患者肾功能正常,仅1例发生输尿管狭窄。结论通过有效预防、早期诊断与治疗、密切随访可以最大限度地减少医源性输尿管损伤的发生及其对患者的身心伤害。
목적：총결의원성수뇨관손상적진치체회화예방조시。방법회고성분석중경시영창현인민의원2006년1월지2014년1월공26례의원성수뇨관손상환자적진단、치료급수방과정,병결합문헌진행총결。결과소유26례환자중,25례균재술중학진,1례술후2 d 학진。채취흡당적수술방식후무루뇨、뇨로감염급혈뇨등병발증발생。수방3~24개월소유환자신공능정상,부1례발생수뇨관협착。결론통과유효예방、조기진단여치료、밀절수방가이최대한도지감소의원성수뇨관손상적발생급기대환자적신심상해。
Objective To discuss the diagnosis and treatment of iatrogenic urethral injuries and preventive measures.Methods Various clinical parameters in 26 cases of iatrogenic urethral injury between January 2006 to January 2014 were analyzed retro-spectively.Results Twenty-five cases were confirmed in the operation,1 case of confirmed 2 days postoperatively.All patients were follow-up visit for 3-24 months normal renal function,only 1 case of urethral stricture.Conclusion Through effective prevention, early diagnosis and treatment,close follow-up visit can minimize the patient′s occurrence of iatrogenic urethral injury.