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目的探讨妇产科手术过程中导致泌尿器官损伤的危险因素及预防措施。方法回顾性分析26例妇产科手术损伤泌尿器官患者的临床资料。结果输尿管损伤19例(73.08%),膀胱损伤7例(26.92%),输尿管损伤发生率明显高于膀胱损伤(P<0.05);输尿管损伤15例于术中及时发现,于10~15 d之内痊愈;4例于术后2~3 d发现,并伴有严重的腹膜感染,经损伤修补和抗感染治疗,于20 d后痊愈出院;7例膀胱损伤者全部于手术中发现,于7~10 d相继痊愈出院,在患者出院后随访3~6个月,所有患者均未出现漏尿及肾功能障碍现象,所有患者均治愈。结论在手术中发现泌尿器官损伤的患者,经过及时发现以及治疗,其治愈率都非常可观;于手术后及时发现患者感染状况,其治愈率也是相当高的,这对提高患者身体健康与生活质量都具有非常重要的意义。
Objective To investigate the risk factors of urinary tract injury during obstetrics and gynecology surgery and its preventive measures. Methods A retrospective analysis of 26 cases of obstetrics and gynecology surgery in patients with urinary tract injury clinical data. Results ureter injury in 19 cases (73.08%), bladder injury in 7 cases (26.92%), the incidence of ureteral injury was significantly higher than the bladder injury (P <0.05); ureteral injury in 15 cases were found in time and in 10 to 15 days 4 cases were found 2 ~ 3 days after operation, accompanied by severe peritoneal infection, after injury repair and anti-infection treatment, were discharged after 20 days; 7 cases of bladder injury were all found in surgery, at 7 ~ 10 d have been cured and discharged, patients were followed up for 3 to 6 months after discharge, all patients did not leak urine and renal dysfunction, all patients were cured. Conclusions The patients with urinary tract injury found during operation were found to have a very good cure rate after timely detection and treatment. The patient’s infection status was promptly found after the operation, and the cure rate was also very high. This is of great value in improving patients’ health and quality of life All have a very important meaning.