[摘要]目的 探讨腹腔镜妇科手术泌尿系并发症的发生原因和治疗。方法 对2002年4月～2008年2月腹腔镜妇科手术泌尿系并发症患者8例进行回顾性分析。结果 1例膀胱损伤及1例输尿管损伤术中转开放术治愈；1例膀胱损伤及1例输尿管损伤经术中镜下缝合伤口治愈；1例膀胱损伤经留置尿管保守治疗治愈；2例尿潴留均经保守治疗治愈；1例输尿管损伤经术后行输尿管膀胱再植术治愈。结论 熟练的操作技术和严格掌握手术适应证，术中注意一些技巧操作的改进是预防减少泌尿系并发症的关键。

    [关键词]腹腔镜；妇科手术；泌尿系并发症

    [中图分类号] R713[文献标识码] A[文章编号] 1673-9701(2009)12-60-02

    Ureteral Complications during Laparoscopic Gynecological Surgery

    ZHU Dongju

    Department of Gynaecology and Obstetrics，Nanyang First People's Hospital，Henan 473000

    [Abstract] ObjectiveTo investigate the etiology and prevention and cure of urinary complication during laparoscopic gynecological surgery. Methods A clinical analysis was carried out in 8 cases with complications during laparoscopic gynecological surgery from April 2002 to February 2008. Results One case with bladder injury and one case with ureteral injury recoveried after open operation ......