在妇产科手术和计划生育手术中,肠管损伤并非罕见。本文通过我院近几年来所遇病例,就肠管损伤的原因及处理进行简要分析。肠管损伤的原因:当行巨大子宫肌瘤、卵巢瘤、卵巢癌手术时,可因解剖变异或严重粘连浸润,在剥离或切除肿物时误伤肠管;妇科一般手术也可因麻醉不满意,病人鼓肠而误伤肠管;输卵管结扎术时,可因为切口过小,误将腹膜肠管一并切开。诸此种种,除因手术复杂、给手术带来困难外,也可能由于术者对解剖关系不熟悉,甚或个别责任心不强,操作粗暴等有关。我院一例卵巢癌行全子宫及双附件切除术,由于癌组织浸润肠管及其周围组织,粘连严重,当子宫切下后发现腹腔内有肠内容物(食物),方才发现已损伤肠管,立即探查,发现乙状结肠有3×2cm 之纵行破口。局部处理后行修补术,1例阴式子宫切除术,剪开后窍窿时将直肠壁剪开约2cm,即行修补术。此例如在剪开前,将宫颈向前牵拉,用中弯血管钳或长 Intestinal damage is not uncommon in obstetrics and gynecology surgery and family planning procedures. This article through the hospital in recent years encountered cases, the reasons for bowel injury and deal with a brief analysis. Causes of bowel injury: When the line of huge uterine fibroids, ovarian cancer, ovarian cancer surgery, due to anatomical variation or severe adhesion infiltration, stripping or removal of the tumor when the accidental injury of the bowel; gynecological general surgery can also be dissatisfied with the anesthesia, the patient drum Intestinal and accidental injury of the intestine; tubal ligation, because the incision is too small, mistakenly cut the peritoneal bowel together. In addition to these kinds of surgery, due to the complexity of the operation to bring difficulties, but also may be due to the anatomy of the surgeon is not familiar with, or even individual responsible is not strong, crude operation and so on. A case of ovarian cancer in our hospital, hysterectomy and double attachment resection, as the infiltration of cancer tissue and its surrounding tissue, adhesions serious, when the uterus found after intra-abdominal intestinal contents (food), had just found the bowel has been damaged immediately Exploration and found that the sigmoid colon with 3 × 2cm longitudinal break. Local treatment after repair, 1 case of vaginal hysterectomy, after the hole cut open the rectal wall cut about 2cm, that line repair. For example, before the cut, the cervix is ​​pulled forward, with a curved clamp or length