摘要
泌尿道损伤是妇科手术严重的并发症之一,而盆腔器官脱垂患者盆底解剖位置的改变会增加盆底重建手术术中泌尿道损伤的风险,及时在盆底重建手术中识别泌尿道损伤并处理至关重要。文章分别从盆底重建手术术中泌尿道(尿道、膀胱、输尿管)损伤的原因、症状、评估和处理等方面进行论述,分析和探讨盆底重建手术术中如何及时发现泌尿道损伤,及时处理,从而降低并发症的发生率。盆底重建手术术中如能尽早识别和处理泌尿道损伤,绝大多数并发症能够得到彻底纠正;而手术中未被识别的泌尿道损伤,术后会导致不同程度的不良预后,故术后的严密观察和处理也很重要。
One of the serious side effects of gynecological surgery is urinary tract injury.Patients with pelvic organ prolapse have altered pelvic floor anatomical position,which increases the risk of urinary tract injury during reconstructive pelvic surgery.Therefore,it is critical to recognize and promptly treat urinary tract injury during reconstructive pelvic surgery.This article analyzes and discusses how to detect urinary tract injuries in time for timely management during reconstructive pelvic surgery,thereby reducing complications.It also discusses the causes,symptoms,assessment,and management of urinary tract(urethra,bladder,and ureter)injuries during reconstructive pelvic surgery.Urinary tract injuries during reconstructive pelvic surgery can be completely corrected when identified and managed early.On the other hand,if urinary tract injuries are not identified during the procedure,there is a poor postoperative prognosis of various severity,so close postoperative observation and management is also crucial.
作者
陈艳琴
黄益娟
张邓新
CHEN Yan-qin;HUANG Yi-juan;ZHANG Deng-xin(Wuxi Maternity and Child Health Care Hospital,Affiliated Women’s Hospital of Jiangnan University,Wuxi 214000,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2024年第3期292-296,共5页
Chinese Journal of Practical Gynecology and Obstetrics
基金
江苏省老年健康科研课题重点项目(LKZ2023015)。
关键词
泌尿道损伤
盆底重建手术
盆腔器官脱垂
urinary tract injury
pelvic floor reconstruction surgery
pelvic organ prolapse
