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输尿管镜检查治疗结石疾病的并发症。

Complications of ureteroscopy for stone disease.

作者信息

Volkin Dmitry, Shah Ojas

机构信息

Department of Urology, New York University School of Medicine, New York, NY, USA -

出版信息

Minerva Urol Nefrol. 2016 Dec;68(6):570-585. Epub 2016 Jul 21.

Abstract

Ureteroscopy is one of the most commonly performed surgeries for kidney stones and one of the most commonly performed surgeries by urologists overall. Although generally safe, recognizing and understanding the potential complications of ureteroscopy is paramount. Intraoperative complications discussed in this review include difficult access, bleeding, ureteral false passage, perforation, and avulsion. Postoperative considerations discussed include extravasation, infection, postoperative imaging for silent obstruction, and ureteral stricture. We place special emphasis on the management of ureteral stricture, which can be associated with significant morbidity.

摘要

输尿管镜检查是治疗肾结石最常用的手术之一,也是泌尿外科医生总体上最常进行的手术之一。尽管通常是安全的,但认识和理解输尿管镜检查的潜在并发症至关重要。本综述中讨论的术中并发症包括入路困难、出血、输尿管假道、穿孔和撕脱。讨论的术后注意事项包括外渗、感染、无症状梗阻的术后影像学检查以及输尿管狭窄。我们特别强调输尿管狭窄的处理,它可能会导致严重的发病率。

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