经皮髂骶固定术后输尿管损伤：病例报告及文献复习。

Ureteral injury after percutaneous iliosacral fixation: a case report and literature review.

机构信息

Pediatric Orthopaedic Surgery Department, CHU de Grenoble, Hôpital Nord. 38700, La Tronche, France.

出版信息

J Pediatr Surg. 2012 Aug;47(8):e13-6. doi: 10.1016/j.jpedsurg.2012.03.065.

DOI:10.1016/j.jpedsurg.2012.03.065

PMID:22901936

Abstract

We report a case of right ureter injury in an 11-year-old girl after a percutaneous iliosacral screwing with non-computer-assisted fluoroscopic guidance. The indication was a pelvic ring fracture, C1-1 in the Tile modified AO classification (J Am Acad Orthop Surg. 1996;4:143-151). The mechanism was a ski accident. A percutaneous iliosacral screwing was performed to stabilize the right iliac wing fracture. Twelve days after the initial trauma, a right ureter tear was highlighted, just opposite the fourth lumbar vertebra. Uneventful spontaneous healing of the ureteral injury site occurred following double J-stent catheterization.

摘要

我们报告一例 11 岁女孩在非计算机辅助透视引导经皮髂骨螺钉固定术后右侧输尿管损伤。该患者的适应证为骨盆环骨折，Tile 改良 AO 分类 C1-1 型（J Am Acad Orthop Surg. 1996;4:143-151）。损伤机制为滑雪事故。进行经皮髂骨螺钉固定以稳定右侧髂骨翼骨折。初次创伤后 12 天，在第四腰椎对面发现右侧输尿管撕裂。在双 J 支架置管后，输尿管损伤部位自行愈合，无并发症。