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剖宫产术时并发输尿管损伤实为罕见的严重并发症,我院自1965年1月至1990年12月共剖宫产19298例,输尿管损伤4例,发生率为0.21‰。例1.孕4产3,妊娠40周,有剖宫产史,1965年9月因前置胎盘,先兆子宫破裂行剖宫产,术中见子宫下段疤痕破裂,大量出血,胎盘种植于膀胱,行次全子宫切除及髂内动脉结扎术,术中误切断左侧输尿管,行端端吻合术。出血共23100ml,输血21300ml。术后
Cesarean section complicated with ureteral injury is a rare serious complication, our hospital from January 1965 to December 1990 a total of 19 298 cases of cesarean section, ureteral injury in 4 cases, the incidence was 0.21 ‰. Case 1 pregnancy 4 3, 40 weeks of pregnancy, a history of cesarean section, in September 1965 due to placenta previa, uterine rupture of the line cesarean section, the surgery see the lower uterine scar rupture, massive bleeding placenta planted in the bladder , The line of hysterectomy and internal iliac artery ligation, surgery to cut off the left side of the ureter, line end anastomosis. A total of 23100ml bleeding, blood transfusions 21300ml. After surgery