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目的:分析与探讨在后腹腔镜泌尿外科手术过程中的并发症形成原因及防治策略。方法:选取我院在2014年2月-2015年2月期间在我院进行后腹腔镜手术治疗泌尿疾病的100例患者作为研究对象,进而对其手术治疗过程中产生的并发症及原因加以分析和总结,并由此提出合理的防治对策。结果:经过本次研究,发现在全部泌尿疾病患者中出现并发症13例,占13.12%,严重并发症患者6例,占6.42%,其中含有1例下腔静脉损伤,3例胸膜损伤以及2例十二指肠损伤;轻度并发症患者9例,占9.28%,其中含有5例皮下气肿和4例腹膜撕裂;另有5例中转接受开放手术治疗。结论:在进行泌尿类疾病的后腹腔镜手术治疗过程中,常因为经验欠缺,致使并发症发生率上升。对于需要特殊给予中转治疗的患者,常构成生命威胁,所以需要相关医务人员加以重视,充分了解和掌握手术并发症的形成原因及防治措施,进而保障手术的治疗效果。
Objective: To analyze and discuss the causes and prevention and cure strategies of complications in retroperitoneal laparoscopic urological surgery. Methods: 100 cases of urinary diseases treated by retroperitoneal laparoscopy in our hospital from February 2014 to February 2015 were selected as the research object, and then the complications and causes in the surgical treatment were analyzed And concluded, and thus put forward a reasonable prevention and control measures. Results: After this study, we found 13 cases (13.12%) of complications in all urological diseases, 6 cases of serious complications (6.42%), including 1 case of inferior vena cava injury, 3 cases of pleural injury and 2 Cases of duodenal injury; 9 cases of mild complications in patients, accounting for 9.28%, which contains 5 cases of subcutaneous emphysema and 4 cases of peritoneal laceration; the other 5 cases were transferred to open surgery. Conclusion: In the course of retroperitoneal laparoscopic surgery for urological diseases, the incidence of complications often increases due to lack of experience. For patients who need special treatment for transit, they often pose a threat to life. Therefore, relevant medical personnel are required to pay attention to fully understand and grasp the causes of formation of surgical complications and prevention and treatment measures to ensure the therapeutic effect of the operation.