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目的:针对泌尿外科后腹腔镜手术产生并发症原因进行分析,并开展有关防控措施的研究。方法:收集2010年6月-2013年6月期间的172例患者,都采取泌尿外与后腹腔镜技术联合进行治疗,分析术中术后产生并发症的原因。结果:共有20例产生并发症,占11.6%。其中有6例情况比较严重,占3.5%,14例情况较轻,占8.1%,全部并发症都在术中得到有效控制并处理完毕。术后产生并发症的患者平均住院时间为9.6天,没有产生并发症的患者平均住院时间为8.2天,术后患者康复出院。结论:后腹腔镜手术后产生并发症的患者比例较高,需采取提高手术操作技术、加深了解解剖关系及积累临床经验等措施进行有效处置。
Objective: To analyze the causes of complications after laparoscopic surgery in urology and to carry out research on prevention and control measures. Methods: A total of 172 patients from June 2010 to June 2013 were enrolled in the study. All of them were treated by combined urologic and retroperitoneal laparoscopic techniques. The causes of postoperative complications were analyzed. Results: A total of 20 patients had complications, accounting for 11.6%. Among them, 6 cases were serious, accounting for 3.5%, 14 cases were mild, accounting for 8.1%. All the complications were effectively controlled during operation and were finished. The average postoperative hospital stay of patients with complications was 9.6 days. The average length of stay of patients without complication was 8.2 days. The patients were discharged after surgery. Conclusion: The patients with postoperative complications of retroperitoneal laparoscopic surgery have a higher proportion of patients who need to take the measures of improving the operative technique, deepening the understanding of anatomy and accumulating clinical experience, and so on.