Cichoń Wojciech, Maciukiewicz Piotr
Przegl Lek. 2014;71(12):700-2.
Ureteral injuries are rare and a special group are iatrogenic ureteral injury. Such a situation may occur during open surgery, laparoscopic surgery and endoscopy. The mechanism typically includes cutting or ligation of the ureter or combination of both what may lead to urinary retention and tissue infiltration by urine. The priority is to prevent the incidence of injury. Even 75% of ureteral damage can be not identified during the surgery, when the injury occurred. The basis of treatment is to drain the urine, the urine leakage and ureter reconstruction.
输尿管损伤较为罕见,其中一个特殊类型是医源性输尿管损伤。这种情况可能发生在开放手术、腹腔镜手术和内镜检查过程中。其机制通常包括输尿管的切割或结扎,或两者兼而有之,这可能导致尿潴留以及尿液对组织的浸润。首要任务是预防损伤的发生。甚至在损伤发生时,75%的输尿管损伤在手术过程中都无法被识别。治疗的基础是引流尿液、处理尿液漏出以及进行输尿管重建。