| 腹腔镜盆腔手术致泌尿系脏器损伤的防治 |
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| 引用本文： | 邹建纲,陆曙炎,周忠兴,吴小鹏,陈仰之. 腹腔镜盆腔手术致泌尿系脏器损伤的防治[J]. 中华腔镜泌尿外科杂志(电子版), 2010, 4(6): 56-58. DOI: 10.3877/cma.j.issn.1674-3253.2010.06.019 |
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| 作者姓名： | 邹建纲 陆曙炎 周忠兴 吴小鹏 陈仰之 |
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| 作者单位： | 南京医科大学附属常州二院泌尿外科,常州,213003 |
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| 摘 要： | 目的总结腹腔镜盆腔手术致泌尿系脏器损伤的原因、处理方法及预防措施。方法回顾性分析26例因腹腔镜盆腔手术致泌尿系脏器损伤的临床资料,包括普外科直肠手术3例、妇科手术23例;输尿管损伤21例、膀胱损伤5例。结果术中及时发现泌尿系损伤者7例,分别经内置双J管、输尿管端端吻合、输尿管或膀胱修补处理,均一期愈合,无并发症发生。术后发现泌尿系损伤者19例,其中膀胱阴道瘘3例,行耻骨上经膀胱修补成功;输尿管损伤16例,2例行逆行插管置双J管、14例行开放输尿管膀胱再植术治愈。结论腹腔镜盆腔手术创伤小、疗效高,提高手术操作技巧、积累经验有利于减少并发症的发生。
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| 关 键 词： | 腹腔镜 盆腔手术 泌尿系并发症 |
Prevention and management of genitourinary organ injury secondary to pelvic cavity laparoscopic surgery |
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| ZOU Jian-gang,LU Shu-yan,ZHOU Zhong-xing,WU Xiao-peng,CHEN Yang-zhi. Prevention and management of genitourinary organ injury secondary to pelvic cavity laparoscopic surgery[J]. , 2010, 4(6): 56-58. DOI: 10.3877/cma.j.issn.1674-3253.2010.06.019 |
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| Authors: | ZOU Jian-gang LU Shu-yan ZHOU Zhong-xing WU Xiao-peng CHEN Yang-zhi |
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| Affiliation: | ZOU Jian-gang,LU Shu-yan,ZHOU Zhong-xing,WU Xiao-peng,CHEN Yang-zhi.Department of urology,the Second Affiliated Hospital of Changzhou,Nanjing Medical University,Changzhou 213003,China |
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| Abstract: | Objective To summarize the clinical experience of prevention and management of genitourinary organ injury secondary to pelvic cavity laparoscopic surgery.Methods The treatment experience was analyzed in 26 genitourinary injury cases caused by pelvic cavity laparoscopic surgery from October 2001 to December 2008,which including 21 ureteral injury and five bladder injury.Results 7 cases of organ injury which were detected during the operation in time were healed by inserting double-J stent,end-to-end ureteral... |
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| Keywords: | Laparoscopy Pelvic cavity operation Genitourinary organ complications |
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