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近十年中妇科手术领域有长足进展。开腹手术范围及难度逐步增加,阴式手术普遍开展,腹腔镜、宫腔镜技术的引进及普及使患者获得同开腹手术相同的疗效。但是由于解剖学的毗邻关系,妇科手术并发胃肠道损伤时有发生。胃肠道损伤发生率低,如果处理不当后果严重。既往手术史,子宫内膜异位症,肿瘤,炎症,操作不当等因素增加了损伤的发生率。依据损伤部位和手术方式就妇科手术中胃肠道损伤的类型、发生原因、诊疗方法及预防措施做一综述。
The past decade in the field of gynecological surgery has made considerable progress. The scope and difficulty of open surgery gradually increased, vaginal surgery generally carried out, laparoscopy, hysteroscopy and the introduction of universal access to patients with the same effect of the same with laparotomy. However, due to the adjacent anatomy, gynecological surgery gastrointestinal tract injuries occur from time to time. Low incidence of gastrointestinal injury, if not handled properly, the consequences. Previous surgical history, endometriosis, cancer, inflammation, improper operation and other factors increase the incidence of injury. According to the site of injury and surgical methods, the type of gastrointestinal injury in gynecological surgery, causes, diagnosis and treatment methods and preventive measures are reviewed.