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输尿管位于后腹壁,创伤较少见,而盆腔手术引起输尿管损伤,并非罕见。现将劳改局中心医院71年到76年及第四陆军医院68年到74年各三例报告如下。一、资料分析:男一例,女五例,年龄在15～19岁。双侧损伤2例,左侧2例,右侧2例,均损伤输尿管下1/3段。除一例抢伤打穿左侧输尿管外其他5例皆为手术误伤,其中1例为阔韧带囊肿并发盆腔炎,粘连严重,组织极脆弱,加之拉钩的压挫伤而破裂。其中三例行子宫切除处理子宫血管时一并缝扎。另一例腹腔包虫囊肿术中误切断输尿管。二、诊断:1例枪伤术中发现尿液。1例子宫切除术后,无尿,腰痛浮肿,虽给输液、利尿,术后26小时仍无尿由他院
Ureter is located in the posterior abdominal wall, trauma is less common, and ureteral injury caused by pelvic surgery is not uncommon. The report of the three cases from 71 to 76 years of the Correctional Services Central Hospital and from the 68th to 74th years of the Fourth Army Hospital is as follows. First, the data analysis: a male, female five cases, aged 15 to 19 years old. Bilateral injury in 2 cases, 2 cases on the left and 2 cases on the right, all under the ureter injury 1/3. In addition to a case of wounds to hurt the left ureter outside the other 5 cases were surgical injury, including 1 case of broad ligament cyst complicated by pelvic inflammatory disease, severe adhesions, extremely fragile tissue, coupled with the pressure hook rupture and rupture. Three cases of hysterectomy uterine vascular suture. Another case of abdominal hydatid cyst surgery mistakenly cut ureter. Second, the diagnosis: a case of gun wound surgery found urine. 1 case of hysterectomy, anuria, back pain, edema, although infusion, diuretic, 26 hours after surgery still no urine by other hospital