下尿路异物取出术的特点

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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。

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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 Petersburg

Michail 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 Petersburg

Arthur 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; Yerevan

Karen 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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补充文件

附件文件
动作
1. JATS XML
2. 图.1.针头穿过软组织进入尿道 Fig. 1. Needles were passed through the soft tissue into the urethra

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3. 图.2.尿道内的纽扣电池 Fig. 2. A pill-shaped battery is in the urethra

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4. 图.3.在膀胱腔内卷起镶嵌蜡烛 Fig. 3. Rolled up inlaid candle is in the cavity of the bladder

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5. 图.4.膀胱腔内的水银温度计 Fig. 4. The Mercury thermometer is in the bladder

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