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剖宫产手术的副损伤,母体方面有肠管、膀胱、输尿管及子宫切口撕裂等;胎儿方面可误伤胎儿皮肤,或致骨折等。手术副损伤的发生率,可因手术指征、手术方式、术者技术熟练程度以及责任心等有所不同。文献很少有报道各类副损伤的发生率。美国南加州医疗中心五年间发生下尿道(包括输尿管)损伤31例,损伤率为0.09％。我单位1984年行剖宫产术911例(手术率12.7％),其中膀胱损伤1例,误伤胎儿皮肤4例,胎儿骨折2例,损伤率为0.76%。目前随着剖宫产率的增加,就更有必要重视防止副损伤的发生。一、膀胱损伤多见于腹膜外剖宫产术式,我院
Cesarean section of the secondary injury, maternal side with intestine, bladder, ureter and uterine incision tear; fetus can be accidental injury of fetal skin, or caused by fractures. The incidence of surgical injury may be due to surgical indications, surgical methods, skilled surgeons and sense of responsibility vary. The literature rarely reports the incidence of various types of secondary injuries. Three cases of lower urethra (including ureter) injury occurred in the US Southern California Medical Center in five years, with an injury rate of 0.09%. In 1984, my unit performed 911 cesarean sections (operation rate: 12.7%), including 1 case of bladder injury, 4 cases of accidental injury of fetal skin and 2 cases of fetal fracture with an injury rate of 0.76%. With the current rate of cesarean section increase, it is even more necessary to pay attention to prevent the occurrence of secondary injury. First, the more common bladder injury in extraperitoneal cesarean section, our hospital