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由于解剖学上的密切关系,妇科手术后的泌尿系统合并症较为多见,其中输尿管的合并症是常遇到的。这种合并症一旦发生,多需泌尿科协同处理。现结合我院经治的7例输尿管合并症做一简要讨论。临床资料本组7例(附表),年龄均在40～52岁之间。术式:广泛根治性子宫切除1例,单纯子宫全切除2例,子宫及附件切除4例。合并症:输尿管阴道瘘3例,输尿管狭窄3例,输尿管切断1例。发生原因:损伤5例,血循障碍及瘢痕粘连1例,组织水肿1例。治疗:手术治愈5例,保守自愈2例。
Due to the close anatomic relationship, post-gynecological urological complications are more common, including ureteral complications are often encountered. If this complication occurs, need to urological co-treatment. Now combined with our hospital in 7 cases of ureteral complications do a brief discussion. Clinical data The group of 7 patients (Schedule), aged 40 to 52 years old. Surgery: a radical radical hysterectomy in 1 case, simple hysterectomy in 2 cases, uterus and attachment resection in 4 cases. Complications: 3 cases of ureteral vaginal fistula, 3 cases of ureteral stricture, ureter in 1 case. Causes: 5 cases of injury, blood circulation disorders and scar adhesions in 1 case, tissue edema in 1 case. Treatment: Surgery in 5 cases, conservative self-healing in 2 cases.