妇产科手术泌尿道损伤13例临床分析

【目的】探讨妇科手术泌尿系统损伤的原因和处理原则。【方法】对1990年1月至2007年3月在浙江大学一医院妇产科收治的13例妇科手术致泌尿系统损伤患者的临床资料进行回顾性分析。【结果】13例泌尿系统损伤中，6例发生于子宫全切术，4例发生于子宫颈癌根治术，2例发生于子宫内膜异位症手术，1例发生于子宫下段剖宫产术。其中10例在术中发现。所有患者均得到了及时的治疗后痊愈出院。【结论】妇科手术致泌尿系统损伤较其他手术为多，应引起妇科医生的重视。

Analyses of 13 cases of urinary tract injury in gynecologic surgery

Objective]to determine the clinical characteristics and management of urinary tract injuries incidental to gynecologic surgery. Methods]During the study period from Jan, 1990 to March, 2007 , 13 patients with urinary tract injuries in gynecologic surgery were analyzed retrospectively. Results]6 urological injuries were incurred during the performance of complete hysterectomy, 4 occurred in radical hysterectomy and pelvic lymphadenectomy, 2 occurred in the surgery of pelvic endometriosis. Only 1 occurred in cesarean section. 10 cases were found during the surgery. All of them were discharged after therapy in time. Conclusion]There are more urological injuries in gynecologic surgery than in other operations. Gynecologist should attach importance to them.