总结妇科手术致输尿管下段损伤 15例的诊断与治疗。其中子宫颈癌根治术致伤 6例 ,子宫全切术致伤 5例 ,2例于术后 72小时后诊断并手术修复卵巢肿瘤切除致伤 4例 ,双侧输尿管损伤 3例。有 10例在术中发现损伤行Ⅰ期修复 ,3例于术后 72小时内发现并手术修复。术中发现及时修复者无并发症 ,术后发现修复者发生输尿管下段狭窄 1例 ,肾衰死亡 2例。结果提示 ,术中及时发现损伤 ,早期修复的成功率高 ,并发症少 ,效果较好 The diagnosis and treatment of 15 cases of lower ureteral injury caused by gynecological surgery were summarized. Including cervical cancer radical surgery in 6 cases, hysterectomy in 5 cases, 2 cases in 72 hours after diagnosis and surgical repair ovarian tumor resection injury in 4 cases, bilateral ureteral injury in 3 cases. Ten cases were found to be injured in the first phase of repair, and three cases were found and repaired within 72 hours after operation. No complications were found during the operation, and one case of lower ureteral stenosis and 2 cases of renal failure were found after operation. The results suggest that timely detection of intraoperative injury, early repair of high success rate, fewer complications, the effect is better