妇科手术后医源性输尿管或膀胱损伤的早期修复。

Early repair of iatrogenic injury to the ureter or bladder after gynecological surgery.

作者信息

Blandy J P, Badenoch D F, Fowler C G, Jenkins B J, Thomas N W

机构信息

Department of Urology, Royal London Hospital, England.

出版信息

J Urol. 1991 Sep;146(3):761-5. doi: 10.1016/s0022-5347(17)37915-6.

DOI:10.1016/s0022-5347(17)37915-6

PMID:1875489

Abstract

Contrary to the traditional doctrine of delayed intervention in post-hysterectomy injuries of the ureter or bladder, the policy at our department has been to operate as soon as possible after the diagnosis is made. Of 68 patients (25 with vesicovaginal fistulas and 43 with ureteral injuries) early intervention was possible in 40 (59%). Primary healing was obtained in all patients. These results suggest that there is no disadvantage in early repair.

摘要

与传统的子宫切除术后输尿管或膀胱损伤延迟干预学说相反，我们科室的政策是在确诊后尽快进行手术。在68例患者中（25例膀胱阴道瘘和43例输尿管损伤），40例（59%）可行早期干预。所有患者均实现一期愈合。这些结果表明早期修复并无弊端。