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[双侧医源性输尿管病变病例中输尿管支架置入的放射学-泌尿外科联合手术]

[Combined radiologic-urologic procedure for the placement of ureteral stent in a case of bilateral iatrogenic ureteral lesion].

作者信息

Ricci Carmelo, Cini Marco, Ceccherini Claudio, Vigni Francesco, Leonini Sara, Barbanti Gabriele

机构信息

UO Radiologia Interventistica, Policlinico Le Scotte, Siena, Italy.

出版信息

Urologia. 2012;79(1):36-43. doi: 10.5301/RU.2012.9008.

Abstract

INTRODUCTION

Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions.

MATERIALS AND METHODS

A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure.

RESULTS

The patient improved clinically and the renal function returned within normal limits.

CONCLUSIONS

The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.

摘要

引言

医源性输尿管损伤是腹部和盆腔手术中众所周知的并发症。修复这些损伤可能需要放射学与泌尿外科联合的方法。

材料与方法

一名69岁女性因子宫内膜癌接受了双侧子宫附件切除术。术后她无尿。CT扫描显示双侧输尿管损伤导致多处尿外渗。通过泌尿外科和放射学联合操作,使用输尿管支架恢复了双侧尿路的连续性。

结果

患者临床症状改善,肾功能恢复至正常范围。

结论

顺行-逆行联合方法是解决医源性输尿管损伤的有效技术。

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