女性泌尿系统毗邻生殖器官。泌尿系统损伤是妇科手术难以回避的问题，虽然少见，但可给患者带来精神及身体的双重打击。作为临床医师，需要尽早识别泌尿系统损伤，对病情进行准确评估及积极治疗，避免严重并发症的发生。泌尿系统损伤最常见的是输尿管损伤和膀胱损伤，根据病情不同，处理原则不尽相同。腹腔镜手术具有创伤小、视野清晰、操作范围广泛、学习曲线短等优点。合理利用该技术，对泌尿系统损伤患者进行治疗，可改善患者预后。

Female reproductive organs are adjacent to the urinary tracts. During gynecological surgery, it is difficult to avoid urinary tract injuries. Although urinary tract injuries are rare, injuries can cause mental and physical trauma to patients. As a clinician, it is necessary to identify urinary tract injuries as early as possible, accurately evaluate the condition and actively treat it to avoid serious complications. Ureter injury and bladder injury are the most common injuries in urinary tracts. The treatment principles are different according to different conditions. As a mature surgical technique, laparoscopic surgery has the advantages of less trauma, clear vision, wide operating range and short learning curve. Laparoscopic surgery can improve the prognosis of appropriate patients with urinary tract injuries.