Daly J W, Higgins K A
Department of Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, Nebraska.
Surg Gynecol Obstet. 1988 Jul;167(1):19-22.
This retrospective study examined ureteral injuries during gynecologic operations from January 1980 to August 1985. The study was conducted at two private hospitals that are involved in resident teaching programs. Each patient was reviewed for predisposing factors, location and type of injury and time and method of recognition. Sixteen injuries were documented in 1,093 extensive procedures. Twelve injuries occurred at the pelvic brim and four others occurred elsewhere in the pelvis. Risk factors included previous surgical procedures in the pelvis, endometriosis, ovarian neoplasm, pelvic adhesions, distorted anatomic features of the pelvis and repair of the bladder. The anatomic structure of the ureter is reviewed, and recommendations are made to help prevent ureteral injury during surgical procedures in the pelvis.
这项回顾性研究调查了1980年1月至1985年8月期间妇科手术中的输尿管损伤情况。该研究在两家参与住院医师教学项目的私立医院进行。对每位患者的诱发因素、损伤部位和类型以及识别时间和方法进行了评估。在1093例大型手术中记录了16例损伤。12例损伤发生在骨盆边缘，另外4例发生在骨盆其他部位。危险因素包括既往盆腔手术史、子宫内膜异位症、卵巢肿瘤、盆腔粘连、骨盆解剖结构变形以及膀胱修复。文中回顾了输尿管的解剖结构，并提出了有助于预防盆腔手术中输尿管损伤的建议。
