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目的本文对27例泌尿系统损伤案例进行统计,分析了导致泌尿系统损伤的原因及损伤后的处理方法,并提出了预防泌尿系统损伤的措施。方法对11734例手术引起的27例泌尿系统损伤患者资料进行分析。结果 27例病例中,输尿管损伤10例,膀胱损伤11例,尿道损伤6例,输尿管和膀胱损伤是较多见的症状。结论妇科手术致泌尿系统损伤是较少见但较严重的并发症,术前明确诊断、熟悉盆腔解剖结构、严格手术操作规范是预防损伤的关键,输尿管插管吻合及膀胱修补是其主要治疗措施。
Objective This article statistics 27 cases of urinary tract injury, analyzes the causes of urinary tract injury and treatment after injury, and puts forward measures to prevent urinary tract injury. Methods The data of 27 cases of urinary tract injury caused by operation in 11734 cases were analyzed. Results Among 27 cases, ureteral injury in 10 cases, bladder injury in 11 cases, urethral injury in 6 cases, ureteral injury and bladder injury were more common symptoms. Conclusions Gynecologic surgery is a rare but serious complication of urinary tract injury. The diagnosis of urinary system is familiar with the anatomy of the pelvis before operation, and the strict surgical procedure is the key to prevent the injury. Ureteral intubation and bladder repair are the main treatment measures .