Sitdykov E N, Krupnik A N, Sitdykova M E, Iakovlev M Iu
Arkh Patol. 1988;50(5):31-5.
The proportion of misdiagnosis and errors in the treatment of urological diseases holds high, this being particularly true for iatrogenic pathology of the ureter and urinary bladder. The disturbances used to arise in response to traumatic gynecological and proctological surgical interventions and often remained undetected. The traumas are mainly induced by inaccurate use of the instruments and defects in surgical techniques. One of the serious iatrogenic complications is microcystic involvement of the urinary bladder as a result of radiotherapy for cancer. The method proposed by the authors for medical and social rehabilitation of such patients implies the replacement of the affected urinary bladder with isolated intestinal segment providing the recovery of natural uresis. Systemic endotoxinemia, another variant of urologic iatrogenesis, is associated with massive-dose antibiotics and extensive intracavitary operations. Early diagnosis and management of the conditions are supposed an effective protection against endotoxin shock.
泌尿外科疾病的误诊率和治疗失误率居高不下，输尿管和膀胱的医源性病变尤其如此。这些干扰过去常因创伤性妇科和直肠外科手术干预而出现，且往往未被察觉。创伤主要是由器械使用不当和手术技术缺陷引起的。严重的医源性并发症之一是癌症放疗导致膀胱微囊性受累。作者提出的此类患者医疗和社会康复方法是用孤立的肠段替代受影响的膀胱，以恢复自然排尿。系统性内毒素血症是泌尿外科医源性疾病的另一种形式，与大剂量抗生素和广泛的腔内手术有关。对这些情况的早期诊断和处理被认为是预防内毒素休克的有效措施。
