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目的探讨妇科腹腔镜手术中输尿管损伤的主要原因及诊断、治疗和预防。方法分析总结6例输尿管损伤患者的临床资料、疾病类型、损伤表现和诊治情况。结果损伤主要发生在因盆腔粘连,子宫内膜异位症和宫颈肌瘤而行腹腔镜辅助阴式子宫切除术(LAVH)的病人。损伤后表现盆腔有清亮液体流出,不明原因的发热,腰痠以及阴道流液。结论输尿管损伤是妇科腹腔镜手术少见而严重的并发症。如术中盆腔持续出现清亮液体,术后不明原因的发热,阴道排液,应警惕输尿管有损伤的可能。
Objective To investigate the main causes, diagnosis, treatment and prevention of ureteral injury in gynecologic laparoscopic surgery. Methods The clinical data, type of disease, injury performance and diagnosis and treatment of 6 cases of ureteral injury were analyzed and summarized. Results Injury mainly occurred in patients with laparoscopic assisted vaginal hysterectomy (LAVH) due to pelvic adhesions, endometriosis and cervical fibroids. After the performance of the pelvic clear liquid outflow, unexplained fever, backache and vaginal fluid. Conclusions Ureteral injury is a rare and serious complication of gynecological laparoscopic surgery. Such as continuous pelvic surgery appeared clear liquid, postoperative unexplained fever, vaginal discharge, ureteral injury should be wary of the possibility.