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造成盆腔手术困难之主要原因是:①病灶与周围器官粘连广泛且紧密不易分离;②盆腔肿物巨大,不易暴露及切除;③局部解剖复杂及个体变异;④在重要血管区手术或术野内血管异常增多。盆腔困难手术易引起的副损伤有肠管、膀胱、输尿管及邻近的血管等。手术副损伤的发生率可因手术时机、手术方式的选择、术者技巧、熟练程度及责任心不同而有差别。妇科手术中遇到腹腔内粘连的机会是比较多的。因此要求术者首先要弄清粘连的性质和程度,区别是炎症性或子宫内膜异位症的粘连,还是恶性肿瘤浸润性的,在程度上是新的还是陈旧的,是纤维性的或膜
The main causes of pelvic surgery is difficult: ① lesions and peripheral organs adhesions extensive and difficult to separate; ② pelvic mass is huge, not easily exposed and resected; ③ local anatomy complicated and individual variability; ④ in major vascular surgery or intraoperative vascular Abnormal increase. Pelvic difficult surgery can easily cause side effects intestinal, bladder, ureter and adjacent blood vessels. The incidence of surgical injury may be due to the timing of surgery, surgical options, surgeon skills, proficiency and responsibility vary. Gynecological surgery encountered intra-abdominal adhesions are more opportunities. Therefore, ask the surgeon first to clarify the nature and extent of adhesions, the difference is inflammatory or endometriosis adhesions, or invasiveness of malignancy, to the extent of new or old, is fibrous or membrane