斜外侧腰椎椎间融合术输尿管损伤并发症的研究进展
Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery（2020）
Abstract
目的 总结斜外侧腰椎椎间融合术(oblique lumbar interbody fusion,OLIF)输尿管损伤并发症的研究进展.方法 广泛查阅近年国内外相关文献,对OLIF手术输尿管损伤发生率、临床表现、诊断和治疗方法进行总结.结果 OLIF手术通道在解剖学上与左侧输尿管相毗邻,因此存在输尿管损伤风险.术中输尿管损伤常较隐匿,临床表现无特异性,CT尿路造影是常用的诊断方法.输尿管损伤的治疗方式取决于诊断时间、损伤位置及程度等多种因素,治疗方法涵盖内镜治疗、替代物重建等多种修复手段.结论 OLIF术中应提高警惕,注意勿损伤输尿管,并及时发现异常情况.熟悉输尿管解剖、术中强调轻柔操作等对于预防输尿管损伤具有重要意义.
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Key words
Oblique lumbar interbody fusion,complication,diagnosis,treatment,ureteral injury
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