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泌尿系器官大部分位于深部腹膜外,并与其他脏器紧邻。在手术中易于损伤。自1972~1991年临床所遇14例报告如下: 临床资料年龄5~70岁,女10例,男4例。妇科手术10例;施行全子宫切除术引起膀胱阴道瘘6例。输尿管阴道瘘(单侧)2例。前庭大腺囊肿摘除术损伤尿道远端又被缝扎引起尿潴留1例。另1例术中即发现输尿管被切断,近端阵发性漏出尿液。腹部外科2例;1例为小儿斜疝修补时损伤膀胱后,由于修补不当导致腹膜炎和中毒性休克,另1例为脾切除并发隔下脓疡切开引流后形成瘘管,在
Most of the urinary organs are located deep in the extraperitoneal space, and close to other organs. In surgery easy to damage. From 1972 to 1991, 14 cases of clinical experience are reported as follows: Clinical data Age 5 to 70 years, 10 females, 4 males. Gynecological surgery in 10 cases; implementation of hysterectomy caused vesicovaginal fistula in 6 cases. Vaginal fistula (unilateral) in 2 cases. One case of urinary retention caused by suture of the distal urethral tract in the vestibular gland cyst excision. Another case of surgery found that the ureter was cut off, the proximal paroxysmal leakage of urine. Abdominal surgery in 2 cases; 1 case of children with oblique hernia repair injury bladder, due to improper repair lead to peritonitis and toxic shock, and the other case of splenectomy and septum abscess incision and drainage after the formation of fistula in