腹腔镜妇科手术中输尿管的损伤

• 作 者: Elmira Manoucheri Sarah L.Cohen Evelien M.Sandberg Adam S.Kibel Jon Einarsson 周静
• 机 构: 马萨诸塞州波士顿布里格姆与妇女医院妇产科微创妇科,马萨诸塞州波士顿布里格姆与妇女医院泌尿外科,南方医科大学南方医院妇产科,
• 出 处: 妇产与遗传(电子版)
• 发表日期: 2012年04期
• 关键词: 腹腔镜妇科手术 输尿管损伤 输卵管结扎术 预防和处理 输尿管膀胱 术后患者 皮瓣修复 吻合术 并发症 诊断 腰痛 首例 病例 病理

妇科手术中腹腔镜的引入既是开创性的进步,也是新的挑战。随着越来越多的晚期病例的病理通过腹腔镜的取得,其潜在的并发症也越来越受重视,例如输尿管损伤。1971年,Engel等~([2])报道了首例腹腔镜输卵管结扎术中输尿管损伤,术后患者出现腰痛,被诊断为右侧输尿管损伤,必须行输尿管膀胱吻合术和Boari皮瓣修复。此后,许多研究致力于预防和处理妇科手术中的输尿管损伤。关于腹腔镜妇科手术中输尿管损伤的发生率,一些大样本的研究证实:各种手术中输尿管损伤的

The introduction of laparoscopy in gynecologic surgery is both a pioneering step and a new challenge. As more and more advanced cases of pathology acquired by laparoscopy, its potential complications are more and more attention, such as ureteral injury. In 1971, Engel et al reported the first ureteral injury during laparoscopic tubal ligation, and postoperative recurrent lower back pain was diagnosed as a right ureter injury and ureterovibular anastomosis and Boari flap repair were necessary. Since then, many studies have been devoted to the prevention and treatment of ureteral injury in gynecological surgery. With regard to the incidence of ureteral injury in laparoscopic gynecological surgery, a large sample of studies confirm that ureteral injury