妇科腹腔镜手术后并发症治疗研究

Gynecological Laparoscopic Treatment of Post-Operative Complications

目的探讨妇科腹腔镜手术后并发症的情况,寻找治疗和减少并发症的方法。方法对该院2011年1月—2012年1月进行妇科手术的患者资料进行分析,其中进行腹腔镜手术的患者441例作为实验组,而其余患者的作为对照组,重点分析实验组的并发症状况,探索治疗对策。结果 441例妇科腹腔镜手术中,发生术后并发症患者8例,并发症比率为1.81%,其中弥漫性血管内凝血1例,占0.23%,肠损伤1例,占0.23%,膀胱损伤1例,占0.23%,腹壁淤血1例,占0.23%,持续性宫外孕2例,占0.45%,盆腔感染1例,占0.23%,皮下气肿1例,占0.23%。结论妇科腹腔镜手术后并发症与医师经验、手术难易程度以及患者有无腹部手术史有关。提高医师的手术技巧,多进行手术培训,可以减少并发症的发生。

Objective To investigate the complications after gynecological laparoscopic surgery, find a cure and reduce complications. Methods analysis of patient data in our hospital from January 2011 to January 2012 for gynecological surgery, laparoscopic surgery in patients with 441 cases as the experimental group, while the remaining patients as a control group, focusing on the analysis of the experimental group concurrent disease status, explore treatment countermeasures. Results 441 cases of gynecological laparoscopic surgery, the occurrence of eight cases of patients with post- operative complications, the complication rate was 1.81%, which disseminated intravascular coagulation cases, accounting for 0.23% of the intestinal injury cases, accounting for 0.23% of bladder injury one cases, accounting for 0.23%, abdominal congestion one cases, accounting for 0.23%, two cases of persistent ectopic pregnancy, accounting for 0.45%, pelvic infection, accounting for 0.23%, subcutaneous emphysema, accounting for 0.23%. Conclusion gynecological laparoscopic surgery after complications with physician experience, surgical degree of difficulty, as well as patients with or without abdominal surgery. Improve surgical skills of physicians, more surgical training, can reduce the incidence of complications.