输尿管镜致输尿管损伤的原因和处理

The cause and cure of ureter injury made by the operations of ureterocope

目的探讨输尿管镜医源性损伤的原因和防治。方法回顾分析我院392例输尿管镜诊疗中13例输尿管损伤的资料。结果黏膜下损伤致假道形成7例占1.8%;穿孔4例占1.0%;输尿管撕裂2例占0.5%。损伤后保守治疗1例占0.3%,置入双J管内引流9例占2.3%,开放手术3例占0.7%。结论严格掌握输尿管镜诊疗适应证,提高手术操做技巧,可以避免医源性损伤。出现损伤后应及时发现并妥善处理。

Objective To evaluate the cause and cure of ureter injury made by the operations of ureterocope. Methods Clinical data of 392 eases of ureteroscope were reviewed. Among them,ureter injury occurred in 13 cases. Results 7（ 1.8% ） cases of urethral submucosa pseudocahal,4（ 1.0% ）cases of perforation of ureter,2（0.5% ）eases of lane[nation of ureter. 1 （0.3%）case by conservative therapy ,9 （2.3%）cases were managed by double -J catluter endodrainage ,3 （0.7%）cases were open operated. Condusions Correctly identifying the indications for ureteroscopy and improving the operational techniques can prevent ureter injury, find and treat the harm promptly after ureter injury happened.