Prevention of urinary injury in gynecological operation.

doi:10.7504/fk2014060108

Abstract

Abstract:

Abstract: Urinary tract injury is a rare complication of abdominal surgery, but the extreme seriousness of its consequences is possible. 50% of iatrogenic urinary tract injuries are caused by gynecological surgical procedures. In this paper , the causes and characteristics of three surgery methods including laparotomy, laparoscopy surgery, and trans-vaginal surgery are varied. Therefore, mastering the different characteristics of the surgical paths in pelvic surgery , selecting the appropriate surgical approach, having a good preoperative evaluation, being familiar with surgical anatomy of the region, using properly of a variety of electrical equipments, mastering skilled operative techniques, and keeping intraoperative vigilance in case of a urinary tract injury are all required in order to effectively prevent urinary tract injuries during gynecological surgery.

Key words: vesicovaginal fistula, urethrovaginal fistula, laparoscopic surgery, trans-vaginal surgery

摘要：

泌尿系损伤是一种少见但后果却可能极为严重的盆腹腔手术并发症，其中50%医源性泌尿系损伤由妇科手术操作所致。开腹、腹腔镜、阴式手术3种术式中泌尿系损伤原因和特点各异，了解盆腔手术不同手术路径的特点，选择合适的手术方式，进行良好的术前评估，熟悉手术区域解剖，正确使用各种电器械，熟练掌握手术操作技巧，术中时刻警惕泌尿系损伤的发生，能有效地预防妇科手术导致的泌尿系损伤。

关键词: 膀胱阴道瘘, 输尿管阴道瘘, 腹腔镜手术, 阴式手术

CLC Number:

R695.1

ZHANG Xiao-wei，XIAO Shu-yao.. Prevention of urinary injury in gynecological operation.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014060108.

张晓薇，肖书瑶. 妇科手术中泌尿系损伤的预防[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014060108.

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（2014-04-20收稿）

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