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目的探讨妇产科手术致输尿管损伤诊治。方法选取我院2008年1月至2011年12月48例妇产科术致输尿管损伤患者,通过膀胱镜、肾分泌造影和核磁共振诊断后,确诊有11例实施输尿管端吻合术,31例实施输尿管膀胱吻合术,3例实施输尿管膀胱瓣吻合术,3例实施肾切除术。结果所有患者都通过手术治疗痊愈。通过1～5年随访,B超康复检查未发现患肾有积水现象。结论妇产科手术致输尿管损伤,需要及早实施手术,按照损伤部位、积水程度及损伤程度选取正确手术方法。
Objective To investigate the diagnosis and treatment of ureteral injury caused by obstetrics and gynecology surgery. Methods 48 cases of ureteral injury caused by obstetrics and gynecology were selected from January 2008 to December 2011 in our hospital. After cystoscopy, renal angiography and magnetic resonance imaging, 11 cases of ureteric anastomosis were confirmed and 31 cases were performed Ureteral bladder anastomosis, ureteric bladder flap anastomosis in 3 cases and nephrectomy in 3 cases. Results All patients were cured by surgery. After 1 to 5 years of follow-up, B-check did not find the recovery of kidney water have water phenomenon. Conclusion Obstetrics and gynecology surgery ureteral injury, the need for early implementation of surgery, according to the site of injury, degree of water and the degree of injury to select the correct surgical methods.