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输尿管隐居于后腹壁,单纯外伤机会甚少,但在妇产科、外科手术时发生损伤者并非罕见,尤其在输尿管盆段,其毗邻关系复杂,为输尿管损伤的好发部位,如处理不当,将造成严重后果。本文报道云南省近34年来发生的输尿管损伤51例,并收集国内近30年来报道的资料共247例进行分析讨论。一、损伤原因本组因妇科手术损伤者184例,其中子宫切除术损伤92例,宫颈癌根治术损伤58例,阔韧带肿瘤切除损伤11例,卵巢手术损伤12例,膀胱阴道瘘修补术损伤7例,用无水酒精注射治疗子宫脱垂损伤输尿管4例。产科原因损伤46例,其中子宫破裂在急诊手术切除子宫时损伤16例,剖宫产术伤及输尿管14例,在农村基层难产损伤16例。外科手术损伤13例,其中结肠
Ureter hernia in the posterior abdominal wall, a simple chance of trauma, but in obstetrics and gynecology, surgery injury is not uncommon, especially in the ureter pelvic, its adjacent relationship is complex, is a predilection for ureteral injury, such as improper handling, Will have serious consequences. This article reports 51 cases of ureteral injury in Yunnan Province in the past 34 years and collects 247 cases reported in the past 30 years in our country for analysis and discussion. First, the causes of injury in this group of 184 cases of injury due to gynecological surgery, including 92 cases of hysterectomy injury, radical resection of cervical cancer 58 cases, broad ligament tumor resection injury in 11 cases, 12 cases of ovarian surgery injury, repair of vesical vaginal fistula injury In 7 cases, 4 cases of uterine prolapse injury ureter were treated with anhydrous alcohol injection. 46 cases of obstetric causes of injury, including uterine rupture in the emergency operation of the uterus in 16 cases of injury, cesarean section injury and ureter in 14 cases, dilapidated in rural areas, 16 cases of dilapidated. Thirteen cases of surgical injury, including colon