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医源性尿瘘的保守治疗:氰基丙烯酸酯胶的价值

Conservative treatment of iatrogenic urinary fistulas: the value of cyanoacrylic glue.

作者信息

Bardari F, D'Urso L, Muto G

机构信息

Department of Urology, S. Giovanni Bosco Hospital, Turin, Italy.

出版信息

Urology. 2001 Dec;58(6):1046-8. doi: 10.1016/s0090-4295(01)01399-1.

DOI:10.1016/s0090-4295(01)01399-1
PMID:11744488
Abstract

Once previously attempted conservative maneuvers have failed, iatrogenic persistent urinary fistulas usually require difficult repeated operations. We describe 3 patients in whom cyanoacrylic glue was used to repair endoscopically persistent urinary fistulas occurring after major pelvic surgery. At a mean follow-up of 21 months, all patients were free of urinary leakage and had no evidence of recurrent urinary fistulas. This approach may represent a safe and effective way to repair postoperative urinary fistulas.

摘要

一旦先前尝试的保守措施失败,医源性持续性尿瘘通常需要进行困难的重复手术。我们描述了3例患者,其中使用氰基丙烯酸酯胶在内镜下修复盆腔大手术后出现的持续性尿瘘。平均随访21个月时,所有患者均无尿漏,也没有复发性尿瘘的迹象。这种方法可能是修复术后尿瘘的一种安全有效的方式。

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