输尿管镜手术引发输尿管长段撕脱二例报告

Two cases report of long segment ureteral avulsion caused by ureteroscopy

随着输尿管镜技术的普及,近年来输尿管撕脱已成为泌尿外科手术中常见的并发症。本文报道2例患者在输尿管镜碎石术中发生长段撕脱,分别行急诊输尿管造瘘、择期回肠代输尿管成形术,以及急诊输尿管修补、择期Boari膀胱肌瓣输尿管成形术,二次手术后分别随访22、17个月,影像学复查均提示替代段输尿管通畅,患侧肾积水较术前缓解。

With the popularization of ureteroscopy,ureteral avulsion has become a common complication of urological surgery in recent years.In the study,we reviewed the clinical management of 2 patients who underwent emergency ureterostomy and selective operation of ileoureteral substitution,emergency repair and selective operation of Boari-flap ureteroneocystostomy respectively.After 22 and 17 months of follow-up,no ureter stricture were found,and hydronephrosis were relieved compared with preoperative in both.