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妇科手术时并发输尿管损伤是妇科严重的并发病,其发生率各家报告不一。我院(?)0年来发生2例,加之外院9例共计11例。本文就其发生原因及防治体会报道如下。资料及分析一、原临床诊断及术式本组子宫肌瘤6例,其中子宫颈肌瘤1例,子宫粘膜下肌瘤充填颈管内2例;妊足月子宫破裂、阔韧带内卵巢囊肿各2例;妊足月滞产1例。原手术方式:腹式子宫切除术8例,腹式囊肿剔出术2例,腹膜外剖宫产1例。二、输尿管损伤后临床表现及预后,本组腹痛、腹胀8例,漏尿7例,术后高热5例,下腹包块3例,肠梗阻2例,无尿1例。术后出现无尿、麻痹性肠梗阻、下腹包块并持续性腹痛腹胀时,要警惕输尿管的损伤.如术后有漏尿,则常为输尿管阴道瘘,诊断较
Gynecological surgery complicated by ureteral injury is a gynecological and serious disease, the incidence of various reports vary. Two cases occurred in our hospital (?) In the past 0 years, plus a total of 11 cases in 9 cases in the hospital. This article on its causes and prevention and treatment reports are as follows. Data and analysis of a, the original clinical diagnosis and operation of this group of 6 cases of uterine fibroids, including 1 case of cervical myoma, uterine fibroids filling the neck in 2 cases; full-term pregnancy uterine rupture, broad ligament ovarian cysts 2 cases; pregnancy full-term delayed labor in 1 case. The original surgical methods: abdominal hysterectomy in 8 cases, 2 cases of abdominal cyst excision, extraperitoneal cesarean section in 1 case. Second, the clinical manifestations and prognosis of ureteral injury, the group of abdominal pain, abdominal distension in 8 cases, 7 cases of leakage of urine, 5 cases of postoperative fever, abdominal mass in 3 cases, intestinal obstruction in 2 cases, anuria in 1 case. After the emergence of anuria, paralytic ileus, abdominal mass and abdominal continuous abdominal distension, we must guard against ureteral injury.If postoperative leakage of urine, often ureteroscopic fistula, the diagnosis of