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目的:探讨妇科腹腔镜手术并发症发病率及其相关因素。方法:回顾性分析2012年9月-2014年9月大理白族自治州人民医院收治的800例妇科腹腔镜手术患者的临床资料,分析患者的年龄、病史、疾病类型、治疗方式等相关因素。结果:妇科腹腔镜手术并发症总体发生几率为6.0%,附件手术、子宫肌瘤剔除术、子宫切除术、妇科恶性肿瘤手术的并发症几率分别为2.1%、9.8%、14.9%、30.8%,回归分析结果显示子宫手术史和手术类型是并发症发生的主要影响因素。结论:有子宫手术史的患者出现手术并发症的几率更高,手术分级越高,患者出现手术并发症的几率也就越高。
Objective: To investigate the incidence of gynecological laparoscopic complications and its related factors. Methods: The clinical data of 800 cases of gynecologic laparoscopic surgery admitted to the People’s Hospital of Dali Bai Autonomous Prefecture from September 2012 to September 2014 were retrospectively analyzed. The related factors such as age, medical history, types of diseases and treatment methods were analyzed. Results: The overall incidence of complications of gynecologic laparoscopic surgery was 6.0%. The rates of complications of accessory surgery, myomectomy, hysterectomy and gynecological malignant tumor were 2.1%, 9.8%, 14.9% and 30.8% respectively. Regression analysis showed that the history of uterine surgery and the type of surgery are the main influencing factors of complications. CONCLUSIONS: Patients with a history of uterine surgery have a higher chance of having surgical complications, and the higher the surgical classification, the greater the risk of developing surgical complications.