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[全髋关节置换术中使用甲基丙烯酸酯继发输尿管狭窄]

[Ureteral stenosis secondary to methacrylate used in total hip arthroplasty].

作者信息

Tremps Velázquez E, Ramón Dalmau M, Garcia Rojo D, Cardona Carbonell S

机构信息

Servicio de Urología, Hospital de San Rafael, Barcelona, España.

出版信息

Arch Esp Urol. 1995 Sep;48(7):741-3.

PMID:7487181
Abstract

OBJECTIVES

The urological complications in orthopedic surgery, the mechanisms of injury and its treatment are discussed.

METHODS/RESULTS: Herein we describe a case of ureterohydronephrosis arising from extrinsic ureteral compression by cement utilized in total hip arthroplasty in a patient with a solitary kidney.

CONCLUSIONS

The risk of acetabular perforation and subsequent migration of the cement into the pelvic cavity must be taken into account in patients undergoing hip replacement surgery. Conservative endourological management should first be attempted in the event of ureteral involvement, although resolution is by surgical repair in most cases.

摘要

目的

探讨骨科手术中的泌尿系统并发症、损伤机制及其治疗方法。

方法/结果:在此,我们描述了一例因全髋关节置换术中使用的骨水泥对输尿管造成外部压迫而导致输尿管积水肾盂的病例,该患者为单肾。

结论

髋关节置换手术患者必须考虑髋臼穿孔及随后骨水泥向盆腔内移位的风险。输尿管受累时应首先尝试保守的腔内泌尿外科治疗,尽管大多数情况下需通过手术修复来解决。

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