腹腔镜下全子宫切除术术后并发症发生的相关因素分析

Risk factors of postoperative complications in patients undergoing laparoscopic hysterectomy

目的探讨腹腔镜下全子宫切除术患者术后并发症发生的相关因素。方法 回顾性分析106例腹腔镜下全子宫切除术患者的临床资料。结果 106例患者术后并发症发生率为14.15%,发生率最高的是皮下气肿(3.77%),其次是残端感染(2.88%)、盆腔包裹性积液(2.88%),盆腔手术史(P=0.037)、术前贫血(P=0.03)、子宫>孕12周大小(P=0.022)、手术时间>120min(P=0.033)、手术出血量>100.ml(P=0.013)为术后并发症发生的危险因素,其中术前贫血(OR=9.939,P=0.048)、手术时间>120min(oR=6.120,P=0.038)为术后并发症发生的独立危险因素。结论术前贫血、手术时间>120min为患者术后并发症发生的独立危险因素。

Objective To assess the risk factors of postoperative complications in patients undergoing laparoscopic hysterectomy. Methods Clinical data of 106 patients undergoing laparoscopic total hysterectomy were analyzed retrospectively. Results Incidence rate of postoperative complications of 106 patients was 14.15%. The complication with highest incidence was subcutaneous emphysema （3.77%）, fol owed by the vaginal wound infection （2.88%）, pelvic cavity effusion （2.88%）. History of pelvic surgery （P=0.037）, preoperative anemia（P=0.03）, uterine size〉12w of pregnancy（P=0.022）, operation time〉120 min （P=0.033）, intraoperative blood loss〉100 ml （P=0.013） were associated with postoperative complications in laparoscopic total hys-terectomy. Preoperative anemia （OR=9.939, P=0.048） and operation time〉120min（OR=6.120, P=0.038） are the independent risk factors of complications for laparoscopic total hysterectomy. Conclusion Preoperative anemia and operation time〉120min are related to the incidence of complications for laparoscopic total hysterectomy.