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目的探析妇产科手术中泌尿道损伤的临床处理方法。方法选取47例妇产科手术泌尿道损伤患者,并对其相关资料及处理方法进行统计分析。结果在本次研究中,20例输尿管损伤患者中有14例患者为手术过程中发现其泌尿道损伤并及时进行修补者,有6例患者在术后1周内实行二次松解尿管或吻合术;27例膀胱损伤者患者中,有22例为术中即进行修补,有5例为术后进行修补。47例患者经相应处理后均完全治愈,且未出现并发症。结论对于妇产科手术中出现泌尿道损伤的患者应尽量在术中完成救治修复,若在术后发现则应视损伤类型采取相应措施进行处理。
Objective To investigate the clinical treatment of urinary tract injury in obstetrics and gynecology. Methods Forty-eight patients with urethral injury undergoing gynecological surgery were selected and their related data and treatment methods were statistically analyzed. Results In the present study, 14 of the 20 patients with ureteral injury were found to have urinary tract injuries during the course of surgery and were promptly repaired. Six patients underwent one-off lymphadenectomy within 1 week after surgery Anastomosis; 27 cases of bladder injury in patients, 22 cases were repaired intraoperatively, 5 cases were repaired after surgery. All 47 patients were completely cured after treatment, and no complications occurred. Conclusion For patients with urinary tract injury during obstetrics and gynecology surgery, the patients should be treated and repaired intraoperatively. If they are found after surgery, they should be treated according to the type of injury.