Alapont J M, Broseta E, Oliver F, Pontones J L, Boronat F, Jiménez-Cruz J F
Department of Urology, La Fe University Hospital, Valencia, Spain.
Int Braz J Urol. 2003 Jan-Feb;29(1):18-22; discussion 23. doi: 10.1590/s1677-55382003000100004.
Report and review the literature on ureteral avulsion as a rare complication of ureteroscopy.
We analyzed 3 cases of ureteral avulsion in a series of 4,645 ureteroscopic procedures performed from January 1990 to December 2001. We especially report the different managements for this complication.
Due to the different extent of the injury, each patient was treated in a particular way, including a patient managed by means of an endourological approach.
When performing ureteroscopy or using Dormia baskets, one should always bear in mind the possibility of serious complications, including ureteral avulsion or perforation. The use of an extremely careful technique of ureteral insertion, the mandatory placement of a safety guidewire, and a working guidewire, all minimize the risk of untoward events.
报告并回顾输尿管撕脱这一输尿管镜检查罕见并发症的相关文献。
我们分析了1990年1月至2001年12月期间进行的4645例输尿管镜手术中的3例输尿管撕脱病例。我们特别报告了针对该并发症的不同处理方法。
由于损伤程度不同，每位患者都接受了特定的治疗方式，包括1例采用腔内泌尿外科方法处理的患者。
进行输尿管镜检查或使用多尔米亚取石篮时，应始终牢记包括输尿管撕脱或穿孔在内的严重并发症的可能性。采用极其谨慎的输尿管插入技术、强制放置安全导丝和工作导丝，均可将不良事件的风险降至最低。
