全子宫切除术后输尿管狭窄的成功治疗：顺行输尿管镜检查法有助于插入导丝进行内镜扩张。
Successful treatment of ureteral stricture after total hysterectomy: An antegrade ureteroscopic approach facilitates the insertion of a guidewire for endoscopic dilation.
作者信息
Iwamoto Genta, Kawahara Takashi, Takeshima Teppei, Ninomiya Sahoko, Takamoto Daiji, Mochizuki Taku, Kuroda Shinnosuke, Yao Masahiro, Uemura Hiroji
机构信息
Departments of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Japan.
Department of Urology Yokohama City University Graduate School of Medicine Yokohama Japan.
出版信息
IJU Case Rep. 2019 Mar 12;2(3):140-142. doi: 10.1002/iju5.12061. eCollection 2019 May.
INTRODUCTION
Iatrogenic ureteral injury is sometimes seen in daily clinical practice, and gynecological surgery carries the highest risk of ureteral injury among iatrogenic surgical ureteral injury.
CASE PRESENTATION
A 61-year-old woman was referred to our department for right ureteral stricture and hydronephrosis after total hysterectomy. We initially attempted ureteral stenting, but hydronephrosis redeveloped 1 month after ureteral stent removal. We performed ureteroscopy via an antegrade approach and successfully incised and dilated the ureter.
CONCLUSION
We encountered a case of severe ureteral stenosis after total hysterectomy that was successfully treated endoscopically using ureteroscopy via an antegrade approach.
引言
医源性输尿管损伤在日常临床实践中时有发生，在医源性手术输尿管损伤中，妇科手术导致输尿管损伤的风险最高。
病例介绍
一名61岁女性在全子宫切除术后因右侧输尿管狭窄和肾积水转诊至我科。我们最初尝试进行输尿管支架置入术，但在取出输尿管支架1个月后肾积水复发。我们通过顺行途径进行输尿管镜检查，并成功切开和扩张了输尿管。
结论
我们遇到了一例全子宫切除术后严重输尿管狭窄的病例，通过顺行途径使用输尿管镜进行内镜治疗取得了成功。
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