关键词:

法医学, 医疗损害, 妇产科, 泌尿系统损伤

Abstract:

Objective The paper is set out to discuss the types of medical damage to urinary system injury caused by obstetrics and gynecology surgery as well as the methods to identify the causality, thus providing guidance for the identification of this type of medical damage cases. Methods The medical damage cases of urinary system injury caused by gynecological surgery accepted by the Academy of Forensic Sciences from January 2013 to December 2020 were statistically analyzed in accordance with the primary disease, the operation method, the damage consequence and the types of causal relationship. Results Among the 36 cases, 13 were benign diseases of the uterus, 23 were malignant tumors of the uterus; 11 were traditional open surgery, 25 were laparoscopic surgery; 6 were bladder injury, and 30 were ureteral injuries; 1 case with no effect between medical error and damage consequences, 1 case of minor cause, 3 cases of secondary cause, 9 cases of the same cause, 21 cases of primary cause, 1 case of complete cause. Conclusion During the identification process of this type of medical damage, the determination of the final causality type is closely related to the own disease, damage consequence, and medical fault. This article lists out some typical cases of urinary tract injuries after obstetrics and gynecology operations, also the paper specifically elaborates the types of causality as well as summarizes the more practical methods for evaluating the types of causality and the degree of participation in the process of medical injury identification, which is convenient for the appraiser to take reference.

Key words:

forensic medicine, medical damage, obstetrics and gynecology surgery, urinary system damage