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妇科手术所致输尿管损伤的保守治疗(作者译)

[Conservative treatment of ureteral lesions caused by gynecological surgery (author's transl)].

作者信息

Tölle E

出版信息

Geburtshilfe Frauenheilkd. 1980 Mar;40(3):225-32. doi: 10.1055/s-2008-1037002.

Abstract

Conservative treatment with long lasting success is possible in many cases of ureteral lesions of different etiology, esp. after complications with gynecological surgery. Both fistulas and stenoses of the ureter can be treated conservatively by placing long term indwelling PVC ureteral splints ("endoprothesis") of FR 8 or 10 with smooth surface and without hooks or the like to keep them place. In a considerable number of cases such treatment is a true and even superior alternative to open surgery with its consecutive longer lasting hospitalization, because it can be done as outpatient-care and, of course, has a lower rate of complications.

摘要

对于许多不同病因的输尿管病变,尤其是妇科手术后出现并发症的情况,保守治疗有可能取得长期成功。输尿管瘘和狭窄都可以通过放置表面光滑、无钩等固定装置的FR 8或10号长期留置PVC输尿管支架(“内置假体”)进行保守治疗。在相当多的病例中,这种治疗是开放手术的一种切实可行甚至更优的替代方案,因为开放手术会导致持续时间更长的住院治疗,而这种保守治疗可以作为门诊治疗进行,当然,其并发症发生率也更低。

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