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首页> 外文期刊>The East African medical journal >Ureteric injuries in Enugu, Nigeria (see comments)
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Ureteric injuries in Enugu, Nigeria (see comments)

机译：尼日利亚埃努古的输尿管损伤（见评论）

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摘要

OBJECTIVE: To study the aetiology, mode of presentation and treatment outcome of ureteric injuries in Enugu. DESIGN: A prospective study carried out between January 1986 and December 1997. SETTING: Three busy health institutions in Enugu, Nigeria, namely, University of Nigeria Teaching Hospital, Mother of Christ Specialist Hospital and JAMA Urological Clinic. SUBJECTS: All patients presenting with ureteric injuries during the study period. INTERVENTIONS: Exploration and reconstruction of the injured ureter. MAIN OUTCOME MEASURES: Intravenous urography three months post operatively. RESULTS: One hundred and forty-eight patients were treated, out of which fifteen had bilateral injuries. All the injuries except one, occurred during operations for various abdominal and pelvic conditions. Fifteen males (10.1%) and 133 females (89.9%) were involved. Gynaecological operations accounted for majority of cases (87.8%). The type of injury was either transection or ligation. The left ureter was injured more than the right (52.1% and 47.9%, respectively). In 71 patients (48.0%), there was a fistula between the injured ureter and the vagina, presenting clinically with urinary incontinence. In 39 patients (26.4%), the injuries were discovered at surgery while the rest presented after the offending surgery. Ureteroneocystostomy, end-to-end ureteric anastomosis, and ileal interposition were the reconstructive methods adopted. All the renal units were salvaged and all the patients survived the procedures, however, post-operative IVU in four patients showed ureteric reflux. CONCLUSION: Open gynaecological operations are still the leading cause of ureteric injuries in Nigeria.
机译：目的：研究埃努古输尿管损伤的病因，表现方式和治疗结果。设计：1986年1月至1997年12月进行的前瞻性研究。地点：尼日利亚埃努古的三个繁忙的卫生机构，即尼日利亚大学教学医院，基督之母专科医院和JAMA泌尿外科诊所。受试者：研究期间所有出现输尿管损伤的患者。干预措施：对受伤的输尿管进行探查和重建。主要观察指标：术后三个月静脉输尿管造影。结果：共治疗148例患者，其中15例双侧受伤。除一处外，所有伤害都是在各种腹部和骨盆疾病的手术过程中发生的。男性15例（10.1％），女性133例（89.9％）。妇科手术占大多数（87.8％）。损伤的类型是横断或结扎。左输尿管比右输尿管受伤（分别为52.1％和47.9％）。在71例患者（占48.0％）中，输尿管与阴道之间存在瘘管，临床表现为尿失禁。在39例（26.4％）的患者中，受伤是在手术中发现的，其余的则是在违规手术后出现的。输尿管膀胱造口术，端到端输尿管吻合术和回肠插入术是采用的重建方法。挽救了所有的肾脏单位，所有患者都幸免于难，但是，四名患者的术后IVU显示输尿管反流。结论：开放式妇科手术仍是尼日利亚输尿管损伤的主要原因。

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