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目的:探讨医源性输尿管损伤的原因、诊断和治疗。方法:本组21例,早期诊断15例,延迟诊断3例,误诊3例;一期手术修复10例,二期手术修复3例,保守治疗5例,肾切除3例。结果:治愈18例,随访12例,2例继发输尿管狭窄,肾积水,再次行腔内扩张治疗;肾切除3例。结论:盆腔和腔内手术是医源性输尿管损伤的主要原因;IVU和逆行肾盂造影是诊断的主要方法;早期诊断,一期手术,愈后好。
Objective: To investigate the causes, diagnosis and treatment of iatrogenic ureteral injury. Methods: The group of 21 cases, early diagnosis in 15 cases, delayed diagnosis in 3 cases, misdiagnosis in 3 cases; a surgical repair in 10 cases, two surgical repair in 3 cases, conservative treatment in 5 cases, 3 cases of nephrectomy. Results: 18 cases were cured, 12 cases were followed up, 2 cases of secondary ureteral stricture and hydronephrosis were treated with endovascular dilatation. Nephrectomy was performed in 3 cases. Conclusions: Pelvic and intraluminal surgery are the main causes of iatrogenic ureteral injury. IVU and retrograde pyelography are the main methods of diagnosis. Early diagnosis, stage I operation and prognosis are good.