Objective To explore the value of ureteroscopy in the diagnosis and treatment of ureteral injury caused by laparoscopic hysterectomy . Methods Suspect ureteral injury occurred in 23 cases out of 578 laparoscopic hysterectomy from January 2010 to December 2015 in our hospital.Among them, 12 cases were testified by ureteroscopy .A double-J catheter was placed in for 3 months. Results All the 12 cases were followed up for 3-26 months (average, 19 months).The double-J catheter was removed at 3 months after surgery .The continuity of the affected side urinary tract was restored in 10 cases and hydronephrosis was not found by B ultrasound .Two cases were found ureteral obstruction and were given ureterovesical reimplantation at 3 months after surgery . Conclusions The ureteroscopy should be carried out as early as possible for patients with suspect ureteral injury after laparoscopic hysterectomy .Double-J catheter placement can avoid parts of patients converting to open surgery .%目的 探讨输尿管硬镜在腹腔镜子宫切除术后输尿管损伤中的应用价值.方法 2010年1月~2015年12月,我院行腹腔镜子宫切除术578例,术后怀疑输尿管损伤23例,行输尿管镜检查,12例证实输尿管损伤,留置F6双J管3个月.结果 12例术后随访3~26个月,平均19个月.术后3个月拔双J管,10例患侧尿路连续性恢复,B超检查未见肾盂积水,2例输尿管梗阻,行输尿管膀胱再植术.结论 腹腔镜子宫切除术后怀疑输尿管损伤,应尽早输尿管镜探查,成功留置双J管可使部分患者避免开放手术.
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