26例妇产科手术损伤泌尿器官的临床分析  

Clinical analysis of 26 cases of urinary organ damage in gynecological surgery W

作　　者：吴冬梅 

机构地区：[1]山东省夏津县人民医院妇产科,253200

出　　处：《中国实用医药》2014年第29期46-47,共2页China Practical Medicine

摘　　要：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 explore the risk factors and preventive measures for urinary organ damage in the process of gynecological surgery. Methods The clinical data of 26 cases with urinary organ damage in the process of gynecological surgery were retrospectively analyzed. Results There were 19 cases of ureteral injury （73.08%） and 7 cases of bladder injury （26.92%）. The incidence of ureteral injury was obviously higher than bladder injury （P〈0.05）. Among the ureteral injury cases, there were 15 cases found during the process of surgery, and they recovered within 10-15 d. The other 4 cases were found after 2-3 d of the surgery with severe peritoneal infection, and they all received damage repair and anti-infection treatment and recovered after 20 d. All of the 7 cases of bladder injury were found during the process of surgery, and all the patients recovered and left the hospital within 7-10 d. The follow-up lasted for 3-6 months, and it showed that there were no occurred leak urine and kidney failure, and all patients were cured. Conclusion Patients with urinary organ damage found during surgery can have considerable cure rate after timely detection and treatment. Timely detection of infection after operation can also guarantee a good cure rate. It is very important for improving health and life quality of the patients.

关 键 词：妇产科手术 泌尿器官损伤 临床分析 

分 类 号：R713[医药卫生—妇产科学] R719[医药卫生—临床医学]