[1]朱庆峰* 武晓敏 刘安全.输尿管镜在腹腔镜子宫切除术输尿管损伤诊治中的应用[J].中国微创外科杂志,2017,17(3):270-272.
　Zhu Qingfeng,Wu Xiaomin,Liu Anquan..Application of Ureteroscopy in the Diagnosis and Treatment of Ureteral Injury Caused by Laparoscopic Hysterectomy[J].Chinese Journal of Minimally Invasive Surgery,2017,17(3):270-272.
点击复制

输尿管镜在腹腔镜子宫切除术输尿管损伤诊治中的应用()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年3期
页码:
270-272
栏目:
经验交流
出版日期:
2017-06-20

文章信息/Info

Title:
Application of Ureteroscopy in the Diagnosis and Treatment of Ureteral Injury Caused by Laparoscopic Hysterectomy
作者:
朱庆峰* 武晓敏 刘安全
浙江省丽水市中心医院泌尿外科，丽水323000
Author(s):
Zhu Qingfeng;  Wu Xiaomin;  Liu Anquan.
Department of Urology, Central Hospital of Lishui City, Lishui 323000, China
关键词:
输尿管镜; 腹腔镜子宫切除术; 输尿管损伤
Keywords:
Ureteroscopy; Laparoscopic hysterectomy; Ureteral injury
文献标志码:
B
摘要:
目的探讨输尿管硬镜在腹腔镜子宫切除术后输尿管损伤中的应用价值。方法2010年1月~2015年12月，我院行腹腔镜子宫切除术578例，术后怀疑输尿管损伤23例，行输尿管镜检查，12例证实输尿管损伤，留置F6双J管3个月。结果12例术后随访3~26个月，平均19个月。术后3个月拔双J管，10例患侧尿路连续性恢复， B超检查未见肾盂积水，2例输尿管梗阻，行输尿管膀胱再植术。结论腹腔镜子宫切除术后怀疑输尿管损伤，应尽早输尿管镜探查，成功留置双J管可使部分患者避免开放手术。
Abstract:
ObjectiveTo explore the value of ureteroscopy in the diagnosis and treatment of ureteral injury caused by laparoscopic hysterectomy.MethodsSuspect ureteral injury occurred in 23 cases out of 578 laparoscopic hysterectomy from January 2010 to December 2015 in our hospital. Among them, 12 cases were testified by ureteroscopy. A double-J catheter was placed in for 3 months. ResultsAll the 12 cases were followed up for 3-26 months (average, 19 months). The double-J catheter was removed at 3 months after surgery. The continuity of the affected side urinary tract was restored in 10 cases and hydronephrosis was not found by B ultrasound. Two cases were found ureteral obstruction and were given ureterovesical reimplantation at 3 months after surgery. ConclusionsThe ureteroscopy should be carried out as early as possible for patients with suspect ureteral injury after laparoscopic hysterectomy. Double-J catheter placement can avoid parts of patients converting to open surgery.

参考文献/References:

[1]Lee JS,Choe JH,Lee HS,et al.Urologic complications following obstetric and gynecologic surgery.Korean J Urol,2012,53(11):795-799.
[2]成九梅.盆腔腹腔镜手术中输尿管损伤的临床特点及技术防范.北京医学,2009,31(5): 293-295.
[3]李钧，王晓峰．经皮经尿道输尿管镜输尿管会师手术在医源性输尿管损伤中的应用．北京大学学报医学版，2011，43（4）：570-573．
[4]Parpala-Sparman T，Paananen I，Santala M，et al．Increasing numbers of ureteric injuries after the introduction of laparoscopic surgery．Scand J Urol Nephrol，2008，42（5）：422-427．
[5]高劲松，冷金花，郎景和，等．妇科腹腔镜手术中输尿管损伤的临床特点及处理．中华妇产科杂志，2004，39(5)：311-314．
[6]Priola AM,Priola SM,Volpicelli G.Late presentation of ureteral injury following laparoscopic colorectal surgery.JBR-BTR,2011,94(4):196-198.
[7]汪灶坤，钱涛，张锦，等.输尿管镜下双J管置入术治疗输尿管损伤的疗效分析（附36例报告）.中国微创外科杂志，2014,14（9）:822-823.
[8]Taie K,Jasemi M,Khazaeli D,et al.Prevalence and management of complications of ureteroscopy:a seven-year experience with introduction of a new maneuver to prevent ureteral avulsion.Urol J,2012,9（1）:356-360.
[9]王芬，陈继英.输尿管插管在预防妇科三、四级腹腔镜手术中输尿管损伤的应用价值.中国微创外科杂志,2014,14(4):301-303.

备注/Memo

备注/Memo:
*通讯作者，E-mail：zhuqingfengcn@sohu.com
更新日期/Last Update: 2017-06-20