妇科腹腔镜手术并发症的相关因素分析

Analysis on the related factors of complications of gynecological laparoscopic surgery

目的:分析妇科腹腔镜手术并发症的相关因素及处理措施。方法:选择2006年9月～2011年6月在长兴县长兴中医院妇科行腹腔镜手术出现并发症的80例患者,分析并发症出现的原因和处理方法。结果:阴式子宫切除术的并发症与中转开腹率显著高于子宫肌瘤剔除术(P<0.05),比附件手术并发症与中转开腹率高(P<0.01);子宫肌瘤剔除术与附件手术的并发症与中转开腹率相当(P>0.05)。结论:了解腹腔镜手术并发症的发生原因、诊断和治疗原则,掌握预防措施,是减少及预防并发症的关键。

Objective： To analyze the related factors and treatment of complications of gynecological laparoscopic surgery. Methods： Eighty patients with complications of gynecological laparoscopic surgery were selected from the hospital from September 2006 to June 2011, the causes and treatment of complications were analyzed. Results： The incidences of complications and the rate of converting to laparotomy in laparoscopically assisted vaginal hysterectomy group were significantly higher than those in myomectomy group （P 〈 0. 05） and accessories operation group （P 〈 0. 01） . There was no significant difference in the incidences of complications and the rate of converting to laparotomy between myomectomy group and accessories operation group （P 〉 0. 05 ） . Conclusion： Understanding the causes, diagnosis, and treatment principles of complications of gynecological laparoscopic surgery, grasping preventive measures are the key points to reduce and prevent complications of gynecological laparoscopic surgery.