经尿道输尿管镜处理医源性损伤后输尿管漏尿

Treatment of urine leakage with iatrogenic ureteral injury by transurethral ureteroscopy

目的探讨医源性损伤后输尿管漏尿的治疗方法。方法运用输尿管镜经尿道置入双J管治疗12例医源性损伤后输尿管漏尿。结果11例治愈,漏尿分别于术后1～3周停止,术后2、3个月,6个月～1年复查静脉肾盂造影(IVU)患侧输尿管通畅。1例失败改开放手术。结论经尿道输尿管镜双J管置入术是处理医源性损伤后输尿管漏尿的有效治疗方法。

[Objective] To evaluate the effective therapy for urine leakage with iatrogenie ureteral injury. [Methods] Transurethral ureteroscopic D-J tube was used for the treatment of iatrogenie ureteral urine leakage in 12 cases. [Results] Operations were succeeded in all the patients except one with conversion to open surgery. Urine leakage stopped in 1-3 weeks, injured ureter was confirmed by IVU to be patent 2 month, 3 month, 6 month-1 year after operation. [Conclusion] Transurethral uretcroscopic double-J tube placement is an effective technology to cure urine leakage due to iatrogenie ureteral injury.