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目的探讨术前预置输尿管导管在妇科腹腔镜手术中预防输尿管损伤的应用效果。方法选择复杂妇科手术患者,观察组56例术前预置输尿管导管,对照组61例按正常程序实施手术,收集病例相关资料,对预置输尿管导管的临床效果进行对比分析和评价。结果 2组病例手术用时、术中出血量、输尿管损伤发生率等差异均有统计学意义(均P<0.05);术后住院日、胃肠道功能恢复时间、下床活动时间及术后感染发生率差异均无统计学意义(均P>0.05)。结论术前预置输尿管导管可缩短手术时间,减少术中出血,有效预防输尿管损伤。
Objective To investigate the application of preoperative ureteral catheter in the prevention of ureteral injury in gynecological laparoscopic surgery. Methods 56 patients with complicated gynecological surgery underwent gynecologic surgery were enrolled in this study. Totally 61 patients undergoing preoperative ureteral catheterization in the observation group were operated under normal procedures. The relevant data were collected and the clinical effects of the preoperative ureteral catheter were compared and evaluated. Results There were significant differences in the operation time, intraoperative blood loss and the incidence of ureteral injury between the two groups (all P <0.05); the postoperative hospital days, gastrointestinal function recovery time, time to bed activity and postoperative infection There was no significant difference in the incidence (all P> 0.05). Conclusion Preoperative ureteral catheterization can shorten the operation time, reduce intraoperative bleeding, effectively prevent ureteral injury.