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目的:研究经阴道子宫次全切加宫颈电锥切术(TVSH-cec)中膀胱损伤的原因,并探讨预防的方法。方法:对我院2005-06/2008-06行TVSH-cec的90例患者,术中出现2例膀胱损伤患者情况进行分析。结果:TVSH-cec损伤膀胱的常见步骤为:(1)分离膀胱宫颈间隙时;(2)上推膀胱,从膀胱腹膜反折处打开腹膜时。结论:根据TVSH-cec中可能损伤膀胱的常见原因和步骤,制定出相应的手术方法和步骤,降低甚至避免膀胱损伤。
Objective: To study the causes of bladder injury in transvaginal subtotal hysterectomy plus cervical conization (TVSH-cec) and to explore the methods of prevention. Methods: 90 cases of TVSH-cec in our hospital from June 2005 to June 2008 were analyzed. Two cases of bladder injury were analyzed. Results: TVSH-cec bladder injury common steps are: (1) separation of the bladder neck space; (2) Push the bladder, from the peritoneal reoperation of the peritoneum when the bladder open. Conclusion: According to the common causes and steps of TVSH-cec that may damage the bladder, corresponding surgical methods and procedures are developed to reduce or even avoid bladder injury.