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目的分析妇科腹腔镜手术导致输尿管损伤的原因并提出相应的防治措施。方法回顾性分析2006年3月~2010年9月间在本院进行妇科腹腔镜手术并引起输尿管损伤7例患者的临床资料,分析损伤部位、诊治要点及其预后等情况。结果 7例中有3例患者为输尿管横断,2例为部分损伤,2例患者为输尿管热损伤,横断及部分损伤患者均实施输尿管端-端吻合术,2例输尿管热损伤者实施输尿管置管,所有患者预后良好。结论输尿管损伤是妇科腹腔镜手术相对常见并且较为严重的并发症,以腹腔镜子宫切除术时多发,对于此类损伤应当尽早根据具体病情进行手术治疗,以改善患者的预后。
Objective To analyze the causes of ureteral injury caused by gynecological laparoscopic surgery and propose corresponding prevention and treatment measures. Methods The clinical data of 7 patients with gynecological laparoscopic gynecologic laparoscopy and ureteral injury in our hospital from March 2006 to September 2010 were analyzed retrospectively. The location of the injury, the main points of diagnosis and treatment and its prognosis were analyzed. Results Of the 7 cases, 3 were ureteral transection, 2 were partial injuries, 2 were ureteral heat injury, and ureter end-to-end anastomosis was performed in both transected and partially injured patients. In 2 ureteric heat-injured patients, ureteral catheterization All patients had a good prognosis. Conclusions Ureteral injury is a relatively common and serious complication of gynecological laparoscopic surgery. When laparoscopic hysterectomy is frequent, ureteral injury should be treated as early as possible according to the specific condition so as to improve the prognosis of patients.