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目的:探讨妇科手术泌尿系统损伤的诊断与治疗。方法:对我院2008年1月到2012年12月我院妇科手术泌尿损伤病例进行回归性分析。结果:我院2008年1月到2012年12月妇科手术共13212例,其中泌尿系统损伤为35例,发生率为0.265%。35名患者中输尿管损伤的为23名,膀胱损伤的为12名。23名输尿管损伤患者,经过术中术后修补,均痊愈。12名膀胱损伤患者,有10名患者在I期修复,有2名患者阴道修补失败后3月实施开腹二次修补成功。结论:妇产科手术中造成的泌尿道损伤不能忽视,应该及早诊断,及早治疗。
Objective: To investigate the diagnosis and treatment of urinary tract injury in gynecological surgery. Methods: The hospital from January 2008 to December 2012 in our hospital gynecological surgery urinary injury cases were analyzed retrospectively. Results: In our hospital from January 2008 to December 2012, a total of 13212 cases of gynecological surgery, of which 35 cases of urinary system injury, the incidence was 0.265%. Twenty-three of the 35 patients had ureteral injury and 12 had bladder injury. 23 patients with ureteral injury, after intraoperative and postoperative repair, were cured. Twelve patients with bladder injury, 10 patients in the I phase repair, two patients failed vaginal repair in March after three open laparotomy success. Conclusion: Obstetric and gynecological surgery caused by urinary tract injury can not be ignored, it should be diagnosed as soon as possible, and early treatment.