妇科腹腔镜手术严重并发症的相关因素分析.pdfVIP

中国临床阪学 2010 年 8 月 第 17 ~努第 4 期 Chine~e Joumal of Clinical Mcdici肘.2010. Vo l. 17 .No. 4 549 ·论著· 妇科腹腔镜手术严重并发症的相关因素分析 张晓E令· 稳J总芬 J瓦爽 黄欧乎 (江西省妇幼保健院妇科，江西南昌 3300(6) 摘要 阔的 g 探讨妇科腹腔镜子术严重并发症及其相关因素。方法:回顾分析江西省妇幼保健院 11693 例腹腔镜子术发生的 严1:并发痰。结果:11 693 例妇科脆肢镜手术发生严重并发症 47 例(0.40% )，其中 27 例常开腹处理。肠管损伤 7 例.膀肮损 伤 11 例，输尿管损伤 5 例，腹胶内大出Ju.. 6 例，盆胶脉肿 18 例。结论g 腹舷镜手术并发症与手术难度有关，提高手术技巧、正 确掌扳手术指~a中转升脆的时机是减少严重并发症和提高手术质爱的关键。 关键诩 严爱并发;Ii; ß是胶镜手术， 妇科 中阁分类号 R713.1 文献标识码 A Study 00 the Serious Complicatioos aod Their Risk Factors of Laparoscopy of Gynecology ZHANG Xiaoling CHENG Yufen WANG Shuang HUANG ouρing De户artment of Gynecology. Mαternal and Child Health Hos户ital of J iangxi Province. Nanchang 330006. China Abstract Objective: To study the serious complications of laparoscopic surgeries and its related risk factors. Methods: Retro晦 spective analysis of 11 693 cases of laparoscopic surgery in recent 6 years at the Jiangxi Women s and Children s Hospital was done. Results , In 11 693 cases , serious complications occurred in 47 cases(O. 40%) , 27cases needed surgical treatment. Of which ,7 were injury of bowel. 11 were injury of bladder , 5 were injury of ureteral. 6 were hemorrhage of intra唰abdominal. 18 were pelvic abscess. Conclusions , Complications of gynecologic laparoscopy seems related to advanced procedures. ln order to reduce the serious complications and improve the quality of gynecologic laparoscopic surgery. the surgery indications and the time of conversion should be selected correctly , procedures should be operated carefully. Key Words Serious complicatíon; LaparoscopYI Gynecology 随着腹腔镜技术在妇科领域的应用日益广泛， 子宫肌瘤剔除术 1 352. 重度盆腔粘连松解 141 例， …些严重并发症(如肠管损伤、膀脱损伤等)的发生