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上极半切除术后残留的尿路茎引起的并发症:一个病例报告
Utari Mudhia Arisa Putri1, Irfan Wahyudi1
1Urology Department, Cipto Mangunkusumo Hospital/Faculty of Medicine, Universitas Indonesia, Indonesia.
International journal of surgery case reports
|October 25, 2024
概括
在半切除术后留下残留的尿路茎可以导致诸如感染等并发症. 建议完全切除尿管残留物,称为远端尿管切除术,以防止未来的问题.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 脑内膜切除术是双重脏的标准治疗方法,其中部分脏不起作用.
- 经过半切除术后残留的尿路干可能会导致长期并发症,包括复发性感染和水.
- 目前的做法通常涉及绑定尿管茎以避免膀损伤,尽管这具有风险.
研究的目的:
- 为了突出潜在的并发症,与残留的尿路干后半切除手术.
- 提出一个需要切除尿道残留物的情况.
- 强调完整的尿路残留切除在预防未来尿路问题的重要性.
主要方法:
- 一个3岁的男孩的病例报告,患有复发性尿路感染和经过血髓切除术后的水缩.
- 诊断工作包括囊镜和尿管导管.
- 手术干预包括切除右尿道残留物和双J (DJ) 支架,用于两个尿道.
主要成果:
- 由于残留的右尿管茎和怀疑的左尿管结口阻塞,患者出现了水和水尿管.
- 成功切除了右尿管茎,并进行了DJ支架.
- 该案例说明了一个情景,其中尿管残留物切除在临床上是有指示的.
结论:
- 虽然大多数残留的尿路茎无症状,但部分可以导致严重的并发症.
- 远端尿管茎的切除,或远端尿管切除术,是当有指示时选择的治疗方法.
- 在半切除术期间尽量减少残留的尿路长度对于预防长期发病率至关重要.
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