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在经阴道子宫切除或子宫肌瘤挖除术中,既往盆腔手术史是导致泌尿系统、肠道损伤的高危因素。如何减少或避免该类副损伤是目前经阴道手术的技术难点。现将采用膀胱宫颈间隙或直肠阴道间隙、直肠窝内水分离技术,避免膀胱、输尿管及肠道发生手术副损伤的体会报道如下。一、资料与方法1.一般资料:2006年12月至2009年12月,解放军第404医院经阴道手术患者共342例,其中有盆腔手术史(术后1～17
Transvaginal hysterectomy or uterine fibroids removal surgery, the history of previous pelvic surgery is the leading cause of urinary tract, intestinal injury risk factors. How to reduce or avoid such side effects is the technical difficulty of transvaginal surgery. Will now use the bladder or bladder rectovaginal space, rectal fossa water separation technology to avoid the bladder, ureter and intestinal surgery occurred injury side effects are reported below. I. Data and Methods 1. General Information: From December 2006 to December 2009, 342 patients underwent transvaginal surgery in the 404th Hospital of People’s Liberation Army, including a history of pelvic surgery (postoperative 1 to 17