输尿管内窥镜手术是通过一细长的窥镜,经尿道、膀胱、输尿管口进入0.2至0.5cm直径的输尿管,连接监视设备后,可以很清晰地观察到输尿管内的病变,从而通过工作腔内插入的不同器械对输尿管疾病进行诊断与治疗。那么我们应该如何处理输尿管内窥镜手术并发症呢?

Ureteroscopic surgery is through a slender endoscope, through the urethra, bladder, ureteral orifice into the 0.2 to 0.5cm diameter of the ureter, after connecting the monitoring equipment, it can clearly observe the lesions in the ureter, so as to diagnose and treat the ureteral diseases through different instruments inserted in the working cavity. So how should we deal with the complications of ureteroscopic surgery?

1、出血

1. Bleeding

术后出血常常是有发生的,也是一种比较常见的并发症,严重的还可能会大出血,这主要由于术中输尿管损伤所致,一般较轻,不需特殊处理。如出血较严重,要考虑损伤周围器官的可能,必要时行介入治疗或开放手术。

Postoperative bleeding often occurs, is also a common complication, serious may also be massive bleeding, this is mainly due to intraoperative ureteral injury, generally light, do not need special treatment. If the bleeding is serious, the possibility of damage to the surrounding organs should be considered. If necessary, interventional therapy or open surgery should be performed.
                

2、粘膜撕裂和粘膜下假道形成

2. Mucosal tear and submucosal pseudomeatus formation

这种并发症一般不容易出现,但是也不是完全没有,这种并发症还是比较好处理掉,一般较轻,可置管保守处理。有时大的粘膜下假道可引起输尿管缺血致术后管腔狭窄、甚至坏死。操作时应尽量动作柔和,避免导管、导丝引起粘膜的损伤。

This kind of complication is not easy to appear, but it is not completely absent. This kind of complication is better to get rid of. It is generally lighter, and can be treated conservatively by catheterization. Sometimes, large submucosal pseudomeatus can cause ureteral ischemia, resulting in postoperative lumen stenosis, or even necrosis. The operation should be gentle as far as possible to avoid the injury of mucosa caused by catheter and guide wire.

3、穿孔

3. Perforation

这是一种比较严重也是比较常见的并发症,需要足够的重视,以免严重的后果,这种并发症常由于导管、导丝损伤所致。一般置管引流常可解决问题。穿孑L后的处理重要的是保持输尿管的引流通畅,避免尿性囊肿形成。

This is a serious and common complication, which needs enough attention to avoid serious consequences. This kind of complication is often caused by the injury of catheter and guide wire. In general, catheter drainage can often solve the problem. It is important to keep the drainage of ureter unobstructed and avoid the formation of urinary cyst.

以上就是关于如何处理输尿管内窥镜手术并发症的一些建议，希望对大家有所帮助。

The above is about how to deal with the complications of ureteroscopic surgery some suggestions, I hope to help you.