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腹腔镜下全子宫切除术并发症相关因素分析及防治 被引量:13

Study on the complications related factors and prevention care of laparoscopic hysterectomy
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摘要 目的探讨腹腔镜下全子宫切除术并发症发生的原因及防治。方法回顾性分析我院2005~2009年中600例腹腔镜下全子宫切除术病例及34例并发症的发生情况。结果腹腔镜下全子宫切除术并发症的发生率为5.67%,其中气肿3例,出血11例,脏器损伤3例,神经损伤1例,角膜损伤7例,肩痛5例,引流管断入腹腔1例,切口感染3例。结论并发症的发生与手术难度、医生的经验及手术体位有关。合理选择病例,提高手术技术,正规手术操作训练是减少并发症的关键。 Objective To evaluate laparoscopic hysterectomy causes and prevention of complications. Methods A retrospective analysis of 600 cases of laparoscopic hysterectomy cases and 34 cases of the occurrence of complications. Results The laparoscopic hysterectomy complication rate was 5.67 ~//0, of which 3 cases of emphysema, bleeding in 11 cases, 3 cases of organ injury, nerve injury in 1 patient, corneal injury in 7 cases, back pain in 5 cases, drainage pi'pe break into the abdominal cavity in 1 case, wound infection in 3 cases. Conclusion The incidence of complications and surgical difficulty, the doctorls experience and position the operation. A reasonable choice of cases to improve surgical techniques, surgical operation of the formal training is the key to reducing complications.
出处 《新疆医科大学学报》 CAS 2010年第1期78-80,共3页 Journal of Xinjiang Medical University
关键词 腹腔镜 全子宫 并发症 laparoscopy hysterectomy complications
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