产科相关下尿路损伤：来自资源匮乏地区三级中心的病例系列
Obstetric-associated lower urinary tract injuries: A case series from a tertiary centre in a low-resource setting.
作者信息
Naicker Shantel, Naidoo Thinagrin D, Moodley Jagidesa
机构信息
Department of Obstetrics and Gynaecology, Greys Hospital, Pietermaritzburg and Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South Africa.
Department Obstetrics and Gynaecology and Women's Health and HIV Research Group, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South Africa.
出版信息
Case Rep Womens Health. 2020 May 11;27:e00218. doi: 10.1016/j.crwh.2020.e00218. eCollection 2020 Jul.
Obstetric-associated lower urinary tract injuries may occur during vaginal and abdominal deliveries. If these injuries go unrecognised, these patients may suffer both physical and psychosocial complications. We describe the management of 19 patients with such injuries, including their demographic profile, associated factors, and complications at a tertiary institution in a retrospective case series over a 5-year period. Bladder injuries were the most common (89.5%), mostly occurring during emergency caesarean delivery, with previous caesarean delivery and adhesions being risk factors. A primary repair was attempted at the referring institution in 35.7% of cases. Repair at the tertiary institution was mostly performed by consultants (42.9%). Early recognition and primary repair are found to reduce further complications.
产科相关下尿路损伤可能发生在阴道分娩和剖宫产过程中。如果这些损伤未被识别，这些患者可能会出现身体和心理社会方面的并发症。在一项回顾性病例系列研究中，我们描述了一家三级医疗机构在5年期间对19例此类损伤患者的处理情况，包括他们的人口统计学特征、相关因素和并发症。膀胱损伤最为常见（89.5%），大多发生在急诊剖宫产时，既往剖宫产和粘连是危险因素。35.7%的病例在转诊机构尝试进行了一期修复。三级医疗机构的修复大多由顾问医生完成（42.9%）。研究发现，早期识别和一期修复可减少进一步的并发症。
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