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目的:探讨妇科腹腔镜术中并发症发生的原因及预防措施。方法:回顾性分析浙江省安吉市妇幼保健院2006年1月~2010年6月间379例腹腔镜手术病例的完整临床资料,分析各种手术并发症的发生率、相关危险因素及预防措施。结果:379例行妇科腹腔镜手术患者共发生并发症8例,并发症的发生率为2.11%,其中发生于子宫切除术2例,占3.51%,子宫肌瘤剔除术3例,占1.66%,附件手术3例,占2.34%。主要并发症包括气肿4例,损伤2例,出血2例。结论:通过对手术操作者加强腹腔镜操作培训、提高手术技能,充分了解脏器解剖结构,术前详细了解病史,明确手术入路,术中认真操作,术后注意监护,完全有可能避免一些不必要的并发症。
Objective: To investigate the causes of complications in gynecological laparoscopic surgery and preventive measures. Methods: The complete clinical data of 379 cases of laparoscopic surgery in Maternal and Child Health Hospital of Zhejiang Province from January 2006 to June 2010 were retrospectively analyzed. The incidence of various surgical complications, related risk factors and preventive measures were analyzed. Results: A total of 379 cases of gynecological laparoscopic surgery in patients with complications occurred in 8 cases, the incidence of complications was 2.11%, which occurred in hysterectomy in 2 cases, accounting for 3.51%, myomectomy in 3 cases, accounting for 1.66% , 3 cases of attachment surgery, accounting for 2.34%. The main complications include 4 cases of emphysema, 2 cases of injury, 2 cases of bleeding. Conclusion: It is totally possible to avoid laparoscopic operation training, enhance surgical skills, fully understand the anatomical structure of the organ, understand the medical history before operation, clear the surgical approach, take careful operation during operation, monitor the operation after operation, Unnecessary complications.