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[妇科原因导致的输尿管医源性损伤。我们的经验]

[Ureteral iatrogenic injury of gynecologic cause. Our experience].

作者信息

Allepuz Losa C A, González Enguita C, Gil Sanz M J, Martínez Bengoechea J, Rioja Sanz L A

机构信息

Servicio de Urología, Hospital Miguel Servet, Zaragoza, España.

出版信息

Arch Esp Urol. 1991 May;44(4):351-6.

PMID:2064437
Abstract

In recent years technical and technological advancements in the field of urology have led to the enhancement of iatrogenic lesions of gynecological origin. Herein we describe our experience of 15 years during which 76 renal units were treated with a mean follow-up of 29.3 months. In 46 renal units diversion was performed previously. The surgical technique was a therapeutic success in 89.28% of the cases. Ureterovesical reinsertion with vesical lateralization was the most commonly used technique. We underscore the importance of microsurgical transureteroureterostomy as a useful alternative as well as the use of effective less invasive endourological procedures.

摘要

近年来,泌尿外科领域的技术进步导致了妇科源性医源性损伤的增加。在此,我们描述了我们15年的经验,期间对76个肾单位进行了治疗,平均随访29.3个月。此前对46个肾单位进行了改道。手术技术在89.28%的病例中取得了治疗成功。膀胱外侧化输尿管膀胱再植术是最常用的技术。我们强调显微外科输尿管输尿管吻合术作为一种有用替代方法的重要性,以及使用有效的微创腔内泌尿外科手术的重要性。

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