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目的：探讨妇产科手术过程中损伤泌尿器官的易发因素及其防治方法。方法对90例妇产科手术损伤泌尿器官患者的临床资料进行回顾性分析。结果90例中输尿管损伤66例，均为下段输尿管损伤，其中近膀胱处损伤48例，骨盆入口处损伤18例；左侧输尿管损伤32例，右侧输尿管损伤20例，双侧输尿管损伤14例，输尿管横断伤18例，结扎伤22例，输尿管穿孔14例，粘连12例，34例手术中诊断，32例于术后24-72 h诊断，经及时正确修补、松解等治疗均治愈。膀胱损伤24例，其中顶部损伤12例，底部损伤12例，均于手术中诊断经膀胱修补I期修复治愈。结论妇产科手术中损伤泌尿器官为严重并发症，重要在于预防，如果损伤发生，及时发现并积极治疗，患者通常预后良好。“,”Objective To investigate the risk factors of urinary organ damage during gynecological surgery and its prevention and treatment. Methods The clinical data of 90 cases of urinary organs injured by obstetrics and gynecology were analyzed retrospectively. Results Among the 90 cases, 66 cases were ureteral injury, including 48 cases of proximal bladder injury, 18 cases of injury of pelvic inlet, 32 cases of left ureteral injury, 20 cases of right ureteral injury, 14 cases of bilateral ureteral injury , 18 cases of ureteral cross-injury, ligation of 22 cases, 14 cases of ureteral perforation, adhesions in 12 cases, 34 cases of surgical diagnosis, 32 cases of 24-72 h after diagnosis, timely correct repair, release and other treatments were cured. Bladder injury in 24 cases, of which 12 cases of top damage, bottom injury in 12 cases, were diagnosed in the surgical repair of bladder repair I cured. [Conclusion] The injury of urinary organs in obstetrics and gynecology operation is a serious complication. It is important to prevent. If the injury occurs, timely detection and active treatment, the prognosis is good.