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编号:10979560
妇科泌尿系统损伤的危险因素及预防(附8例分析)
http://www.100md.com 《中华实用医药杂志》 2006年第5期
妇科泌尿系,,妇科外科手术;,泌尿系统损伤;,手术中并发症;,预防,1临床资料,2讨论,【参考文献】
     【摘要】 目的 探讨造成妇科手术中泌尿系统损伤的危险因素及其预防措施。方法 回顾性总结了8例泌尿系统损伤的临床资料,并复习有关文献,分析造成损伤的原因。结果 8例均治愈,其中拆除缝线1例,行输尿管浆肌层修补1例,经膀胱镜逆行输尿管植入D-J管引流2例,输尿管端端吻合1例,肾切除1例,膀胱修补2例。结论 妇科手术中泌尿系统损伤多见于全子宫切除术和盆腔清扫术,亦见于卵巢囊肿切除术,与术者思想麻痹、缺乏良好心理素质、基本功不扎实、术中暴露不良、解剖变异及术中出血等有关,需从术前、术中两方面着手预防。

    【关键词】 妇科外科手术; 泌尿系统损伤; 手术中并发症; 预防

    【Abstract】 Objective Making a study of the risk factors and protection of the damaging in gynecological urinary system during gynecological surgery.Methods Retrospectively summing up eight examples of clinical data of the damaging in gynecological urinary system, and review the literature on the subject, analyzing the cause of damage. Results Eight cases all cured, thereinto, one stitches removed, one ureter membrane repaired, by cystoscopic reversing ureter, two diversion by embedding D-J pipe, one ureter anastomosed, one kidney cutted, two bladder repaired.Conclusion The damaging in gynecological urinary system during gynecological surgery occurs mainly in panhysterectomy and pelvic cavity clearing, also in oophorocystectomy. It has relationship with operator’s woolly thinking, lacking good psychology, unsound basic skills, bad exposure during surgery, anatomy variation, bleeding in surgery, etc. All need to be protected in surgery or before surgery. ......

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