下尿路异物取出术的特点
- 作者: Shanava G.S.1,2, Mosoyan M.S.2,3, Grabsky A.M.4,5, Arzumanyan K.G.4,5
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隶属关系:
- St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine
- Almazov National Medical Research Centre
- Academician I.P. Pavlov First St. Petersburg State Medical University
- Yerevan Mkhitar Heratsi State Medical University
- Medical Center “Izmirlian”
- 期: 卷 11, 编号 3 (2021)
- 页面: 213-218
- 栏目: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/72148
- DOI: https://doi.org/10.17816/uroved72148
- ID: 72148
如何引用文章
详细
绪论。在临床实践中患者将异物引入膀胱和尿道的情况相对少见。因此,科学文献中关于从尿路取出异物方法的信息不足。
目的:确定从尿道和膀胱中取出异物的最佳方法。
材料与方法。21名患者中包括15名(71.4%)男性和6名(28.6%)女性,从下尿路取出异物。在7名 (33.3%)患者中异物在尿道中,14名(66.7%)在膀胱中。尿道和膀胱的异物通过内窥镜或在开放手 术中取出。
结果。9名患者在开腹手术中切除了泌尿道刺伤、切割和玻璃物体。12例患者在尿道膀胱镜下切除了边缘均匀的异物。同时,在两名患者中,凝结栓剂首先在膀胱腔内破碎,然后部分取出。1例患者在膀胱结石碎裂前用嵌有结石的栓剂行膀胱结石碎裂术。
结论。开放手术中,从下尿路取出边缘锋利或由玻璃制成的异物更安全。内窥镜可最佳去除表面光滑平整的异物。可以在膀胱腔内碎裂的又长又大的异物最好分部分去除。当异物结有大块结石时,应在内镜下取出异物前进行膀胱石研碎术。
全文:
作者简介
Gocha Shanava
St. Petersburg I.I. Dzhanelidze Research Institute of Emergency Medicine; Almazov National Medical Research Centre
编辑信件的主要联系方式.
Email: dr.shanavag@mail.ru
SPIN 代码: 1706-7410
Cand. Sci. (Med.), urologist
俄罗斯联邦, 3, Budapeshtskaya str., 192242, Saint Petersburg; Saint PetersburgMichail Mosoyan
Almazov National Medical Research Centre; Academician I.P. Pavlov First St. Petersburg State Medical University
Email: moso3@yandex.ru
SPIN 代码: 5716-9089
Scopus 作者 ID: 57041359200
Dr. Sci. (Med.), Head of the Department of Urology with the Course of Robotic Surgery, Head of the Center for Robotic Surgery
俄罗斯联邦, Saint-Petersburg; Saint PetersburgArthur Grabsky
Yerevan Mkhitar Heratsi State Medical University; Medical Center “Izmirlian”
Email: amgrabsky@gmail.com
ORCID iD: 0000-0001-9617-9073
Dr. Sci. (Med), Associate Professor of the Department of Urology; Head of the Urology Clinic
亚美尼亚, Yerevan; YerevanKaren Arzumanyan
Yerevan Mkhitar Heratsi State Medical University; Medical Center “Izmirlian”
Email: dr.karen.arzumanyan@gmail.com
clinical resident
亚美尼亚, Yerevan; Yerevan参考
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