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目的探讨妇产科手术过程中损伤泌尿器官的易发因素及其防治方法。方法对90例妇产科手术损伤泌尿器官患者的临床资料进行回顾性分析。结果 90例中输尿管损伤66例,均为下段输尿管损伤,其中近膀胱处损伤48例,骨盆入口处损伤18例;左侧输尿管损伤32例,右侧输尿管损伤20例,双侧输尿管损伤14例,输尿管横断伤18例,结扎伤22例,输尿管穿孔14例,粘连12例,34例手术中诊断,32例于术后24～72 h诊断,经及时正确修补、松解等治疗均治愈。膀胱损伤24例,其中顶部损伤12例,底部损伤12例,均于手术中诊断经膀胱修补Ⅰ期修复治愈。结论妇产科手术中损伤泌尿器官为严重并发症,重要在于预防,如果损伤发生,及时发现并积极治疗,患者通常预后良好。
Objective To investigate the risk factors of urinary tract injury during obstetrics and gynecology surgery and its prevention and treatment. Methods The clinical data of 90 patients with gynecological and urological injuries were retrospectively analyzed. Results 90 cases of ureteral injury in 66 cases, the lower ureteral injury, including nearly 48 cases of bladder injury, 18 cases of pelvic entrance injury; left ureter injury in 32 cases, right ureteral injury in 20 cases, bilateral ureteral injury in 14 cases , Ureter transversal injury in 18 cases, ligature injury in 22 cases, ureter perforation in 14 cases, adhesions in 12 cases, 34 cases of surgery diagnosis, 32 cases of 24 to 72 h after the diagnosis, timely and correct repair, release and other treatment were cured. Bladder injury in 24 cases, of which 12 cases of top injury, bottom injury in 12 cases, were diagnosed during surgery by bladder repair Ⅰ stage cure. Conclusion Obstetrics and gynecology surgery is a serious complication of urinary tract injury, the important lies in the prevention, if the injury occurs, and timely detection and active treatment, patients usually have a good prognosis.