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目的:探讨妇科腹腔镜手术中转开腹的指证、原因、处理及意义。方法:用回顾性分析的方法对2004年8月至2010年12月施行的2138例患者中25例中转开腹的患者的临床资料。结果:中转开腹的发生率为1.16%。主要原因:有盆腔严重粘连、出血、损伤、未预料的恶性肿瘤、突然停电、器械故障等。结论:术前严格腹腔镜手术指证,明确既往手术史及盆腔病史,正确掌握中转开腹时机,熟练掌握开腹操作技术,是保证腹腔镜手术顺利开展的必要条件。
Objective: To investigate the indications, causes, treatment and significance of laparoscopic gynecological laparoscopic surgery. Methods: A retrospective analysis of clinical data of 25 patients who underwent laparotomy in 2138 patients who were performed between August 2004 and December 2010 was performed. Results: The incidence of transit laparotomy was 1.16%. The main reason: a serious pelvic adhesions, bleeding, injury, unexpected malignancy, a sudden power outage, equipment failure and so on. Conclusion: The preoperative rigorous laparoscopic surgery, evidence, a clear history of surgery and pelvic history, correctly grasp the timing of laparotomy, and master the technique of laparotomy, laparoscopic surgery is to ensure the smooth development of the necessary conditions.