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目的探讨妇科腹腔镜手术并发症发生的原因及防治措施。方法回顾分析开县人民医院2010年1月—2013年8月860例行妇科腹腔镜手术的临床资料。结果 860例妇科腹腔镜手术出现并发症25例,发生率2.9%,包括穿孔、气腹、感染、出血、腹壁血管损伤等。其中发生气腹6例和腹壁血管损伤7例,分别占总并发症24%、28%,明显多于其他并发症类型。结论妇科腹腔镜手术并发症的发生与所行手术难度、手术技巧有关,加强手术医师操作能力的培训及重视手术适应证的选择,可有利于降低并发症。
Objective To investigate the causes of complications of gynecological laparoscopic surgery and its prevention and treatment. Methods The clinical data of 860 gynecological laparoscopic operations in Kaixian People’s Hospital from January 2010 to August 2013 were retrospectively analyzed. Results 860 cases of gynecological laparoscopic complications occurred in 25 cases, the incidence of 2.9%, including perforation, pneumoperitoneum, infection, bleeding, abdominal vascular injury. Among them, pneumoperitoneum occurred in 6 cases and abdominal vascular injury in 7 cases, accounting for 24% of the total complications, 28%, significantly more than other types of complications. Conclusions The complications of gynecological laparoscopic surgery are related to the difficulty of operation and the technique of operation. Training of surgeon in operation ability and selection of surgical indications may be helpful to reduce the complication.