妇科手术泌尿系统损伤42例临床分析

发布时间：2018-05-26 00:22

本文选题：妇科外科手术 + 泌尿道　；参考：《中华妇产科杂志》2002年10期

【摘要】：目的　探讨妇科手术泌尿系统损伤的临床特点和处理。方法　对 1990年 1月 1日至2 0 0 1年 12月 31日期间在北京协和医院妇科手术中发生的 4 2例泌尿系统损伤的类型、时间、术后尿瘘的发生和诊治经过 ,进行回顾性分析。结果　在 12 84 9例妇科手术中 ,发生泌尿系统损伤 4 2例 ,发生率为 0 33%。其中 ,输尿管损伤 11例 ,包括输尿管下段损伤 5例、近膀胱入口段损伤 4例和骨盆入口段损伤 2例 ,发生率为 0 0 9% ;膀胱损伤 31例 ,均发生于膀胱底部或后壁 ,发生率为 0 2 4 %。发现损伤的时间 ,术中 32例 (76 % ) ,术后 10例 (2 4
[Abstract]:Objective to investigate the clinical features and management of urinary system injury in gynecological surgery. Methods from January 1, 1990 to December 31, 2001, 42 cases of urinary system injury occurred during gynecological operation in Peking Union Hospital. The type, time, occurrence, diagnosis and treatment of postoperative urinary fistula were analyzed. To carry out retrospective analysis. Results among 12849 cases of gynecologic operation, 42 cases had urinary system injury (0.33%). There were 11 cases of ureteral injury, including 5 cases of lower ureter injury, 4 cases of near bladder entrance injury and 2 cases of pelvic entrance injury, the incidence was 0.09%, 31 cases were bladder injury. All cases occurred at the bottom or posterior wall of bladder, and the incidence was 0.24%. The time of finding injury was 76% in 32 cases during operation and 24 cases in 10 cases after operation.
【作者单位】：中国医学科学院中国协和医科大学北京协和医院妇产科中国医学科学院中国协和医科大学北京协和医院妇产科中国医学科学院中国协和医科大学北京协和医院妇产科中国医学科学院中国协和医科大学北京协和医院妇产科中国医学科学院中国协和医科大学北京协和医院妇产科中国医学科
【分类号】：R713

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