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1987～1993年我们共收治5例较特殊的输尿管损伤,多数都有误诊史,确诊时间有的长达3年,增加了治疗的困难和病人的痛苦.为临床吸取教训,特予报道.例1 女,36岁.于1993年8月行子宫切除术,术中发现将右输尿管下1/3切断而即刻行吻合术,并留置F_(10)橡皮导尿管做输尿管支架引流.第16天拔管无法拔出.5天后再次开腹探查,发现右输尿管末端及其内的导管1/2横径被7号丝线与阴道组织缝扎在一起,松解后导管顺利取出.取管后15天,B超检查右肾正常.
From 1987 to 1993, we treated a total of 5 cases of special ureteral injury, most of them have misdiagnosis history, diagnosis time up to 3 years, increasing the difficulty of treatment and the patient’s pain for the clinical lessons, especially for the report. 1 female, 36 years old. In August 1993 underwent a hysterectomy, surgery was found to cut the right ureter 1/3 anastomosis immediately, and retained F_ (10) rubber catheter ureteral stent drainage. Tropoplasm tube can not pull out .5 days after laparotomy and found that the right ureter and its catheter within the 1/2 diameter was sutured with the No. 7 silk and vaginal tissue together, release the catheter smoothly removed after taking the tube 15 days, B-check right kidney normal.