摘要
目的探讨妇科腹腔镜并发症发生原因和防治方法,提高手术的安全性。方法对该院2001年3月～2006年10月进行的2266例妇科腹腔镜手术的临床资料作回顾性分析。结果2266例腹腔镜手术中,发生并发症47例,占2.07%。其中持续性宫外孕13例、出血9例、肠损伤2例、膀胱损伤2例、盆腔化脓性感染1例,与恶性肿瘤有关2例、皮下气肿18例。并发症中需开腹处理的12例,再次腹腔镜治疗4例。结论腹腔镜手术部分并发症是严重的,应引起高度重视。正确掌握手术指征、严格按规范操作、避免粗心和盲目自信及遇到操作困难情况及时中转开腹是预防手术并发症的关键。术后必须严密观察及随访病人,以便及时发现各种意外,并给予适当处理。
[Objective] To study the causes, managment and prevention of the complications of laparoscopic gynecological surgery. [Methods] 2 266 laparoscopic surgeries out from March 2001 to October 2006 were analyzed retrospectively. [Results] Complications occurred in 47 cases, the overall complication rate was 2.07%. 12 cases needed open surgery（25.53%）, 4 cases needed laparoscopic surgery again（8.51%）. The complications included： persistent ectopic pregnancy （13 cases）, bleeding, viscera injury （2 cases）, infection （1 case）, unpredictable malignant tumor （2 cases）, cubcutaneous emphysema （18 cases）. [Conclusion] Some complications of laparoscopic surgery are serious and great attention should be paid. In order to reduce the risks of laparoscopic surgery indications should be selected correctly, procedures should be operated carefully and postoperative follow-up should be adapted.
出处
《中国内镜杂志》
CSCD
北大核心
2008年第1期56-58,共3页
China Journal of Endoscopy
关键词
妇科
腹腔镜手术
并发症
gynecology
laparoscopic surgery
complication
