论文部分内容阅读
探讨医源性泌尿系统损伤的原因及防治措施。方法 :对 1982～ 1998年 2 6例医源性泌尿系统损伤的病例进行回顾性分析。结果 :妇科、泌尿外科、普外科手术所造成的泌尿系统损伤分别为 16例 (6 1.5 4% ) ,8例 (30 .77% ) ,2例 (7.70 % )。以妇科所引起的发病率最高 ;其中膀胱损伤 16例中 ,节育术损伤 15例 ,子宫切除损伤 1例。输尿管损伤 10例中 ,输尿管下段切开取石损伤 3例 ,睾丸肿瘤腹膜后淋巴结清扫术 2例 ,耻骨上前列腺摘除术 2例 ,膀胱部分切除加输尿管移植术损伤 1例 ,直肠癌根治术 2例。结论 :熟练掌握局部解剖关系 ,仔细解剖分离组织是预防医源性泌尿系统损伤的关键。一旦诊断为泌尿系统损伤 ,应及早处理。
Explore the causes of iatrogenic urinary tract injury and its prevention and treatment. Methods: A retrospective analysis was performed on 26 cases of iatrogenic urinary tract injuries from 1982 to 1998. Results: The urological injuries caused by gynecology, urology and general surgery were 16 cases (6 1.54%), 8 cases (30.77%) and 2 cases (7.70%). Gynecology caused by the highest incidence; of which 16 cases of bladder injury, 15 cases of injury to birth control, hysterectomy injury in 1 case. In 10 cases of ureteral injury, 3 cases of ureteral calculotomy were performed in the lower ureter, 2 cases of retroperitoneal lymphadenectomy in the testis, 2 cases of suprapubic prostatectomy, 1 case of bladder partial resection plus ureteral transplantation, 2 cases of rectal cancer radical mastectomy . Conclusion: To master the local anatomy and carefully dissect the tissue is the key to preventing iatrogenic urinary tract injury. Once diagnosed with urinary tract injury, should be treated as soon as possible.