摘要
目的:探讨腹腔镜子宫切除术损伤性并发症的发生原因、处理及预防措施。方法:回顾性分析我院2005年5月～2008年10月591例因子宫非恶性病变行腹腔镜子宫切除手术患者的临床资料。结果:591例患者中出现输尿管损伤4例,膀胱损伤1例,血管损伤1例,损伤性并发症发生率为1.02%(6/591),中转开腹率为0.34%(2/591)。并发症的发生与既往手术史无关;在开展手术的第一年中并发症的发生例数较多。结论:妇科腹腔镜手术并发症与手术难度和术者技巧有关,术前应全面评估患者情况,积极预防可降低其发生率。
Objective： To investigate the causes, managament, and prevention of complications in laparoscopic hysterectomy. Methods： A retrospective analysis was made on clinical data of 591 cases of laparo- scopic hysterectomy from May 2005 to October 2008 in this hospital. Results： Among 591 cases, complica- tions occurred in 6 cases, the overall rate being 1.02%（6/591） and 2 cases（0.34%） changed to abdominal hysterectomy. Complications included 4 cases of ureteral injury, 1 cases of bladder injury, 3 cases of blood vessel injury. Conclusions： Complications of laparoscopic gynecologic surgery are correlated with the diffi- culty of operation and the skillfuless of operator.
出处
《新疆医科大学学报》
CAS
2009年第10期1418-1419,共2页
Journal of Xinjiang Medical University
关键词
妇科
腹腔镜手术
并发症
gynecology
laparoscopic surgery
complication
