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目的:探讨降低泌尿外科中后腹腔镜手术并发症发生率的有效措施。方法:将2009年10月~2011年10月治疗的250例患者作为措施前组,将2011年10月~2013年10月治疗的285例患者作为措施后组,对比其并发症发生率,以总结降低或避免并发生发生的有效措施。结果:经相应提高腹腔镜手术操作技术措施后,措施后组并发症发生率为4%,明显低于措施前组的14.0%,且术中各项并发症均较低,差异具有统计学意义(P<0.05)。经相应对症处理后,并发症症状均在1周内消失,治愈率为100%。结论:了解术区解剖关系及血管走向,提高腹腔镜手术操作技术,按照适应证和禁忌证合理选择病例,严格检测二氧化碳分压等,可有效降低后腹腔镜手术的并发症发生率。
Objective: To explore effective ways to reduce the incidence of postoperative laparoscopic complications in urology. Methods: A total of 250 patients treated from October 2009 to October 2011 were taken as the first group before treatment. A total of 285 patients treated from October 2011 to October 2013 were retrospectively analyzed. The complication rates were compared with Summarize effective measures to reduce or avoid and occur. Results: After the corresponding technical measures of laparoscopic operation were improved, the incidence of complications in the post-treatment group was 4%, which was significantly lower than that in the pre-treatment group (14.0%), and the intraoperative complications were all lower with statistically significant differences (P <0.05). After the corresponding symptomatic treatment, the symptoms of complications disappeared within 1 week, the cure rate was 100%. Conclusion: To understand the anatomy and vascular anatomy and improve the operation technique of laparoscopic surgery, according to indications and contraindications reasonable selection of cases, and strict testing of carbon dioxide partial pressure, which can effectively reduce the incidence of complications after laparoscopic surgery.