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目的探讨妇科腹腔镜手术严重并发症的临床特点。方法 2011年3月至3013年3月期间,本院诊治的1000例妇科腹腔镜手术患者,对其术后严重并发症,进行回顾性分析。结果最严重术后并发症为出血,好发于腹腔镜辅助阴式子宫切除术。与附件手术相比,子宫全切除术的中转开腹率明显升高,P<0.01,而腹腔镜辅助阴式子宫切除术的中转开腹率也升高,P<0.05。结论手术类型、难易程度、既往手术史、医师手术水平是妇科腹腔镜术后严重并发症的相关因素,针对性给予预防,能够降低并发症的发生率。
Objective To investigate the clinical features of severe complications of gynecological laparoscopic surgery. Methods From March 2011 to March 3013, 1000 cases of gynecologic laparoscopic surgery treated in our hospital were retrospectively analyzed for serious postoperative complications. Results The most serious postoperative complications of bleeding, occurs in laparoscopic assisted vaginal hysterectomy. Compared with the accessory surgery, the rate of laparotomy for hysterectomy was significantly increased (P <0.01), while the laparoscopic assisted vaginal hysterectomy laparotomy rate was also increased (P <0.05). Conclusions The type of surgery, the degree of difficulty, the history of previous operations and the level of physician ’s surgery are the relevant factors of severe complications after gynecological laparoscopic surgery. The targeted prevention can reduce the incidence of complications.