摘要
目的：针对妇产科临床手术导致泌尿系统损伤患者的原因进行初步探讨，并提出相应预防措施。方法采用回顾性分析方法对收集于2013年7月—2014年7月妇产科临床手术导致泌尿系统损伤的12例患者有关资料进行分析研究。结果12例泌尿系统损伤患者中有7例患者为膀胱损伤，5例患者为输尿管损伤。大部分损伤都因炎症、肿瘤浸润及子宫内膜异位症等，导致患者盆腔发生粘连而影响解剖。其中输尿管损伤患者有2例在术后1周左右发现，1例患者还需要实施二次手术进行处理，1例患者放置双J管，其它泌尿系损伤患者都在术中发现并得到及时处理。结论泌尿系统损伤在妇产科手术患者中发生率相对较低，其预防关键措施主要是对局部解剖关系熟练掌握，对操作规程更加规范，对患者组织解剖分离应更加仔细。
Abstract
Objective To investigate the causes of urinary system injury caused by clinical operation in gynecology and obstetrics, and to put forward the corresponding preventive measures.Methods 12 cases of urinary system injury caused by gynecological surgery from July 2013 to July 2014 were analyzed by retrospective analysis. Results 12 cases of urinary system injury in patients with bladder injury in 7 patients, ureteral injury in 5 patients. Most of the injuries are due to inlfammation, tumor inifltration and endometriosis, resulting in pelvic adhesions and affect anatomy. Among the patients with ureteral injuries were found in 2 cases in 1 weeks after operation, 1 patients still need to implement the two surgical treatment, 1 cases were placed double J tube in patients with other urological injury were found during operation and receive timely treatment.Conclusion The urinary system injury in gynecologic surgery patients in the incidence rate is relatively low, the key to prevention measures are mainly on the local anatomy master of operating procedures more standardized, on patients with anatomical separation should be more careful.
NETL
NSTL
维普
万方数据