Newman R C
Division of Urology, University of Florida College of Medicine, Gainesville.
Urol Clin North Am. 1988 Aug;15(3):323-8.
Suggestions for the safe use of the ureteral access set are outlined in Table 1. Although this tool is valuable in selected circumstances, great care must be exercised in its use. In the series described, the incidence of perforation was 31 per cent. Although no long-term sequelae are known to have occurred, the potential for such problems is present. If ureteral injury is suspected, a retrograde pyelogram should be performed. Proper diversionary measures must be performed when a perforation is confirmed. Appropriate long-term radiographic evaluation should follow.
输尿管通路套件安全使用的建议概述于表1中。尽管该工具在特定情况下很有价值，但在使用时必须格外小心。在所描述的系列病例中，穿孔发生率为31%。虽然尚无已知的长期后遗症发生，但存在出现此类问题的可能性。如果怀疑有输尿管损伤，应进行逆行肾盂造影。确认穿孔后必须采取适当的引流措施。随后应进行适当的长期影像学评估。
