Tosana M, Tralce L, Cancarini G, Simeone C, Da Pozzo G P
Divisione Clinicizzata, di Urologia, Spedali Civili di Brescia.
Arch Ital Urol Nefrol Androl. 1993 Mar;65(1):47-51.
Ureteral injuries are an uncommon complication after gynecological procedures. The Authors consider separately direct lesions during surgery and those following radiotherapy. For both these situations preventive criteria, which permit a lower incidence in ureteral injuries, are considered. Early diagnosis and intraoperative repair are the most important tool for surgical lesions while the exact stage of neoplasm and N.E.D. status are fundamental for lesions resulting from radiation therapy. In our opinion, best treatment of stable lesions is surgery, while endourology is not usually a definitive treatment and has only a temporary and palliative role.
输尿管损伤是妇科手术后一种罕见的并发症。作者分别考虑手术中的直接损伤和放疗后的损伤。对于这两种情况，都考虑了可降低输尿管损伤发生率的预防标准。早期诊断和术中修复是手术损伤最重要的手段，而肿瘤的确切分期和无疾病证据状态对于放疗导致的损伤至关重要。我们认为，稳定损伤的最佳治疗方法是手术，而腔内泌尿外科手术通常不是确定性治疗，仅具有临时和姑息作用。
