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外科手术中泌尿系器官损伤并非少见,现就我院1960～1985年因手术所致的25例泌尿系器官损伤的原因进行分析,并探讨其预防方法。临床资料男15例,女10例。年龄最大68岁,最小2天。单纯肾损伤5例,单纯输尿管损伤3例,单纯膀胱损伤15例,同时损伤肾脏、输尿管及膀胱、输尿管各1例。肾脏损伤共6例,术中发现2例,术后发现4例;输尿管损伤共5例,术中发现3例,术后发现2例;膀胱损伤共16例,术中发现13例,术后发现3例。术中发现共占66.60%。术后发现损伤距手术时最短为6小时,最长为1年。致使泌尿系器官损伤手术及原因见附表。讨论泌尿系器官损伤原因和预防一、病变器官与泌尿系器官粘连本组由于粘连造成泌尿系器官损伤15例,占55.5%,是输尿管、膀胱损伤的主要原因。当既往有腹部手术史,盆腔慢性炎症及结肠恶性肿瘤,腹膜后巨大肿瘤向周围浸润等情况时,由于病变部位与泌尿系器官毗邻,往往存在粘连,尤其是输尿管和膀胱为空腔器
Urinary tract organ injury surgery is not uncommon, now our hospital from 1960 to 1985 due to surgical treatment of 25 cases of urinary tract organ injury were analyzed and discussed its prevention methods. Clinical data of 15 males and 10 females. Age 68 years old, minimum 2 days. Simple renal injury in 5 cases, simple ureteral injury in 3 cases, simple bladder injury in 15 cases, while kidney, ureter and bladder, ureter in 1 case. There were 6 cases of renal injury, 2 cases were found in operation, 4 cases were found after operation, 5 cases of ureteral injury were found, 3 cases were found in operation, 2 cases were found after operation, 16 cases of bladder injury, 13 cases were found during operation, Three cases were found. Surgery found a total of 66.60%. Postoperative injury was found to be the shortest 6 hours from surgery, the longest one year. Causes urinary tract injury surgery and the reasons see attached. Discuss the cause of urinary tract organ injury and prevention First, the lesion organ and urinary tract organ adhesion in this group due to adhesion caused by urinary tract organ injury in 15 cases, accounting for 55.5%, is the main cause of ureteral and bladder injury. When past history of abdominal surgery, pelvic inflammatory disease and colon malignant tumor, peritoneal macroscopic tumor around the infiltration, etc., due to the lesion adjacent to the urinary tract organs, there are often adhesions, especially the ureter and bladder cavity