Simonov V Ia, Dzeranov N K, Kozlov S A, Kamalov A A
Urol Nefrol (Mosk). 1989 May-Jun(3):36-9.
Complications related to ureterolithotomy and ultrasonic ureterolithotripsy performed under the control of visual endoscope were analyzed in 86 ureterolithiasis patients, methods of their prevention discussed. All the aforementioned complications were distributed into three groups: inapplicability of surgery due to anatomic and functional defects of lower and upper urinary tracts, intraoperative, and postoperative complications. The commonest ones were ureteral abruption and perforation, acute pyelonephritis, temporary vesicoureteral reflux. Their control measures were considered as relative methods of treatment: immediate surgical intervention in case of ureteral abruption, renal catheterization in patients with insignificant ureteral perforation or acute pyelonephritis. Adequate ureteroscopy, careful consideration of pro- and contraindications, catheterization of renal pelvis and urinary bladder performed within 2-3 days after the surgery and adequate antibacterial therapy are the most decisive steps in the control of aforementioned complications.
分析了86例输尿管结石患者在直视内镜控制下进行输尿管切开取石术和超声输尿管碎石术的相关并发症，并探讨了预防方法。上述所有并发症分为三组：由于下尿路和上尿路解剖及功能缺陷导致手术无法实施、术中并发症和术后并发症。最常见的是输尿管断裂和穿孔、急性肾盂肾炎、暂时性膀胱输尿管反流。其控制措施被视为相对的治疗方法：输尿管断裂时立即进行手术干预，输尿管穿孔或急性肾盂肾炎症状较轻的患者进行肾造瘘。充分的输尿管镜检查、仔细权衡利弊、术后2 - 3天内进行肾盂和膀胱插管以及充分的抗菌治疗是控制上述并发症的最关键步骤。
