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目的探讨妇产科手术泌尿道损伤的预防及治疗效果。方法 2008年3月-2013年3月,河南省郑州市中医院实施的2000例妇产科手术中,出现37例泌尿道损伤病例,对其临床资料进行回顾性分析。结果妇产科手术泌尿道损伤的发生率为1.85%,其中25例输尿管损伤(67.6%)、12例膀胱损伤(32.4%),行阴道修补术治疗后,30例达到I期修复,7例修补手术失败后,再次开腹实施二次修补术,最终术后达到I期修复。结论对于妇产科手术泌尿道损伤,应做到及时诊断、及时治疗。
Objective To investigate the prevention and treatment of urinary tract injury in obstetrics and gynecology surgery. Methods From March 2008 to March 2013, 37 cases of urinary tract injuries were observed in 2000 cases of obstetrics and gynecology operated by Zhengzhou Hospital of Traditional Chinese Medicine in Henan Province. The clinical data were retrospectively analyzed. Results The incidence of urethral injury in obstetrics and gynecology was 1.85%. Among them, 25 cases had ureteral injury (67.6%) and 12 cases had bladder injury (32.4%). After vaginal repair, 30 cases achieved stage I repair and 7 cases After the repair fails, the second open repair is performed again, and finally the I phase is repaired. Conclusion Obstetric and gynecological surgery urinary tract injury should be timely diagnosis and timely treatment.