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目的 探讨医原性输尿管损伤的早期诊断和最佳治疗方案。 方法 对 1989至 1999年 31例 33侧医原性输尿管损伤病例进行回顾性研究 ,分析治疗方法和预后及并发症之间的关系。 结果 31例患者中 ,30例手术成功 ,1例发生尿瘘需行引流。 2 3例随访 6个月～ 10年 ,一期手术组 (其中 17例确诊时间 >4 8h)并发症 3例 ,分期手术组并发症 1例。 结论 医原性输尿管损伤患者一般情况较好时 ,无论确诊时间早晚 ,均可考虑一期手术修复
Objective To investigate the early diagnosis and treatment of idiopathic ureteral injury. Methods 31 cases of 33 cases of primary ureteral injury from 1989 to 1999 were retrospectively studied, and the relationship between the treatment methods and prognosis and complications was analyzed. Results Of the 31 patients, 30 had successful operation and one had urinary fistula drainage. Twenty - three cases were followed up for 6 months to 10 years. There were 3 cases of complications in the first operation group (17 of which were diagnosed within 48 hours) and 1 of the complications in the staged operation group. Conclusion IUID patients generally good, regardless of the diagnosis of time sooner or later, can consider a surgical repair