妇科腹腔镜手术中输尿管损伤的临床特点分析

目的探讨妇科腹腔镜手术中输尿管损伤的主要原因及诊断、治疗和预防。方法分析总结6例输尿管损伤患者的临床资料、疾病类型、损伤表现和诊治情况。结果损伤主要发生在因盆腔粘连,子宫内膜异位症和宫颈肌瘤而行腹腔镜辅助阴式子宫切除术(LAVH)的病人。损伤后表现盆腔有清亮液体流出,不明原因的发热,腰痠以及阴道流液。结论输尿管损伤是妇科腹腔镜手术少见而严重的并发症。如术中盆腔持续出现清亮液体,术后不明原因的发热,阴道排液,应警惕输尿管有损伤的可能。

Research of ureteral injury in gynecologic laparoscopies

Objective To investigate the ureteral injury in gynecological laparoscopies and discuss its diagnosis,treatment and prevention.Methods Six cases of ureteral injury were reviewed.The clinical features including the type of diseases,uterine size,pelvic adhesion and the methods of diagnosis,treatment were studied.Results Ureteral injuries happened during laparoscopically assisted vaginal hysterectomy(LAVH). The gynecological disorders included pelvic adhesions,endometriosis and leiomyoma in cervical.Patients presented flank pain,fever,increased volumes discharge.Conclusion Ureteral injury is an uncommon and sever complication in gynecological laparoscopies.Fever,flank pain and abnormal vaginal discharge should be paid attention to be ureteral injury.