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作者对泌尿系疾病经腹腔镜手术后常规检查不能解释临床症状的20例病人作了CT研究。男8例,女12例,年龄19～78岁。CT扫描为术后1天～4个月做了腹部和盆腔CT以除外可能的并发症。腹腔镜操作包括肾切除、离断性肾盂成形各4例,Burch阴道悬吊3例,供体肾切除和肾囊肿切除各2例,肾输尿管切除、输尿管切开取石、肾切开取石、尿道周围阔筋膜悬吊和肾活检各1例。除供体肾切除口服对比剂、肾活检者未用对比剂外,均静脉注射或口服对比剂后完成CT。CT估价的最初指征为疼痛12例,发烧或白细胞数升高5例,红细胞比容下降3例。15例中CT确定手术并发症13例,2例CT确定病变与手术无关。因此,75％(15/20)的病人术后CT作出与症状有关的诊断,当红细胞比容降低或可疑脓毒血症病人的估价时,CT成功地确定了100％
The authors performed a CT study of 20 patients with urologic disease who underwent conventional examination after laparoscopic surgery that did not explain clinical symptoms. 8 males and 12 females, aged 19 to 78 years old. CT scan for 1 day to 4 months after the abdomen and pelvic CT were done to exclude possible complications. Laparoscopic procedures included nephrectomy, amputation pyeloplasty in 4 cases, Burch vaginal suspension in 3 cases, donor nephrectomy and renal cyst excision in 2 cases, nephroureterectomy, ureterolithotomy, nephrolithotomy, urethra Surrounded by lacrimal fascia and renal biopsy in 1 case. In addition to donor nephrectomy oral contrast agent, renal biopsy were not used contrast agent, intravenous or oral contrast agent to complete CT. The first indication of CT evaluation was pain in 12 cases, fever or white blood cell count increased in 5 cases, decreased hematocrit in 3 cases. Thirteen cases of CT were confirmed by CT in 15 cases, and none of the two cases were confirmed by CT. Thus, postoperative CT in 75% (15/20) of patients made a diagnosis that was symptomatic, and when hematocrit was reduced or the estimate of suspect sepsis was assessed, CT successfully identified 100%