摘要
目的:研究妇科腹腔镜手术严重并发症情况,减少和预防严重并发症的发生。方法:对该院2816例妇科腹腔镜手术所出现的严重并发症进行回顾性分析。结果:2816例妇科腹腔镜手术中,发生严重并发症17例,发生率为0.61%,其中膀胱损伤3例,输尿管损伤5例,肠管损伤2例,术后出血3例,粘连性肠梗阻1例,腹壁疝1例,盆腔脓肿2例。结论:正确选择腹腔镜手术适应证,提高手术质量,掌握合适的中转开腹时机,是减少严重并发症发生、提高手术安全性的保障。
Objective： To analyze the causes of the severe comphcations by gynecological laparoscopic operations and to discuss the management and prevention for these complications. Method： The severe complications from 2816 patients with laparoscopic operations of gynecological were reviewed retrospectively. Results： The rate of severe complication was 0.6%（17/2816）. Among 17 severe complication cases, 3 were injury of bladder, 5 were injury of ureter, 2 were injury, of bowels, 3 were injury of blood vessel,1 was adhensive,1 was abdominal hernia, 2 were pelvic abscess. Conclusions： Selecting proper indication for laparoscopic operation, improving the quanlity and selecting proper conversion into open laparotomy are the safeguard for reducing severe complications and the safety of laparoscopic operation.
出处
《中国医药导刊》
2008年第6期863-864,共2页
Chinese Journal of Medicinal Guide
关键词
妇科
腹腔镜手术
严重并发症
gynecology
laparoscopic operafon
severe complication
