中国实用妇科与产科杂志

中国实用妇科与产科杂志

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妇科腹腔镜手术中泌尿系统损伤的预防与处理

叶明侠，孟元光，李立安，张唯一   

  1. 作者单位：解放军总医院妇产科，北京 100853
  • 出版日期:2015-05-02 发布日期:2015-05-13
  • 通讯作者: 孟元光

Management and prevention of laparoscopic urinary injuries during gynecologic operation.

YE Ming-xia，MENG Yuan-guang，LI Li-an，ZHANG Wei-yi.   

  1. Department of Obstetrics and Gynecology,Chinese PLA General Hospital ,Beijing 100853, China
  • Online:2015-05-02 Published:2015-05-13

摘要：

文章旨在讨论妇科腹腔镜手术中泌尿系统损伤的预防及处理，为临床实践提供帮助。泌尿系统损伤包括传统的机械性损伤及热损伤。术者要充分了解盆腔解剖以及腹腔镜画面中的解剖特点。掌握术中及术后泌尿系统损伤的临床表现，及腹腔镜手术中能量器械的工作原理和作用特点，避免能量器械的副损伤。一旦发生损伤注意早发现，早处理。处理方式的选择要根据术者的经验、能力以及客观条件综合考虑，以最小的创伤缓解症状是治疗原则。

关键词: 腹腔镜手术, 膀胱损伤, 输尿管损伤, 妇科手术

Abstract:

Abstract:The purpose of this paper is to discuss the prevention and treatment of urinary system injury, which including traditional mechanical and thermal damage, during the process of gynecological laparoscopic surgery for clinical practice. The surgeon has to fully understand the pelvic anatomy and anatomical feature in the screen of laparoscope and master the clinical manifestations of urinary system injury during the intraoperative and postoperative period, and be familiar with the working principle and functional characteristics of laparoscopic energy equipment to avoid vice-damage of energy equipment. we need to pay attention to the early discovery and early treatment when injured. We choose the therapy method according to the overall consideration of the surgeon's experience, ability and objective conditions. The therapeutic principle is to relieve symptoms with minimal trauma.

Key words: laparoscopic operation, bladder injury, ureter injury, gynecologic surgery

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