Goodno J A, Powers T W, Harris V D
Department of Obstetrics and Gynecology, Methodist Hospital of Southern California, Arcadia 91007, USA.
Am J Obstet Gynecol. 1995 Jun;172(6):1817-20; discussion 1820-2. doi: 10.1016/0002-9378(95)91417-x.
Our purpose was to review and analyze ureteral injuries incidental to gynecologic surgery in a community hospital.
During the study period from Jan. 1, 1983, through Dec. 31, 1992, all patient records in which ureteral injury resulted from gynecologic surgery were reviewed. The operative procedure, pathologic result, location of injury, and type of repair were studied. Additionally, the time of recognition and diagnostic methods in these ureteral injuries were analyzed.
Nineteen ureteral injuries were incurred during the performance of 4665 gynecologic surgical procedures, an incidence of 0.4%. Patients ranged in age from 23 to 70 years. Recognition of the ureteral injury occurred intraoperatively in 10 patients and was delayed from 1 to 16 days in 9 patients. Six of the ureteral injuries were repaired by end-to-end anastomosis, 3 by deligation, and 10 by ureteroneocystostomy. Immediate postoperative urinary integrity was found in all patients.
Gynecologic surgical procedures in this study resulted in a 0.4% incidence of ureteral injury, and repair of these injuries was successful in all cases for the short term.
我们的目的是回顾和分析一家社区医院妇科手术中 incidental 输尿管损伤情况。
在1983年1月1日至1992年12月31日的研究期间，对所有因妇科手术导致输尿管损伤的患者记录进行了回顾。研究了手术操作、病理结果、损伤部位和修复类型。此外，还分析了这些输尿管损伤的识别时间和诊断方法。
在4665例妇科手术中发生了19例输尿管损伤，发生率为0.4%。患者年龄在23岁至70岁之间。10例患者在术中识别出输尿管损伤，9例患者延迟1至16天识别。其中6例输尿管损伤通过端端吻合修复，3例通过结扎修复，10例通过输尿管膀胱吻合术修复。所有患者术后即刻尿液完整性良好。
本研究中的妇科手术导致输尿管损伤的发生率为0.4%，所有病例的这些损伤短期修复均成功。
