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妇科手术有发生血管损伤的危险。本文调查自1979～1983年在瑞典的妇科手术中发生血管损伤的情况。5年中共发生15例。(1)施行腹腔镜损伤7例(5例为腹腔镜绝育,2例为腹腔镜检查),其中6例为右髂总动脉损伤,1例为左髂总动脉损伤;6例在术中发现即刻剖腹手术,1例到术后复苏室方发现;4例系充气针的损伤,1例为套管针损伤,1例钳子损伤,余1例损伤原因不明。术后2个月～2年随访,全部患者皆健康。(2)剖腹手术时损伤8例:右髂内静脉4例,右髂外静脉1例,右髂外动脉1例,左髂外静脉1例,下腔静脉1例;有1例因髂外动脉损伤为止血目的行动脉结
Gynecologic surgery is at risk of vascular damage. This article investigates the occurrence of vascular lesions in gynecological surgery in Sweden from 1979 to 1983. In 5 years, 15 cases occurred in the CCP. (1) laparoscopic injury in 7 cases (5 cases of laparoscopic sterilization, 2 cases of laparoscopy), of which 6 cases of right common iliac artery injury, 1 case of left common iliac artery injury; 6 cases were found during surgery Immediate laparotomy and 1 case of postoperative recovery were found. 4 cases were inflatable needle injury, 1 case was trocar injury, 1 case was pliers injury, the other 1 case of injury is unknown. After 2 months to 2 years follow-up, all patients were healthy. (2) 8 cases of laparotomy injury: right internal iliac vein in 4 cases, right external iliac vein in 1 case, right external iliac artery in 1 case, left external iliac vein in 1 case, inferior vena cava in 1 case; 1 case due to external iliac Artery injury for the purpose of stopping bleeding arterial knot