腹腔镜子宫切除术中的临床并发症及相应的防治分析

The treatment and prevention of laparoscopically assisted vaginal hysterectomy complication

目的探讨和分析腹腔镜下实施子宫切除术后产生的并发症并提出相应的防治方法。方法收集该院2011年1月—2014年2月期间实行腹腔镜下子宫切除术的病例206例进行回顾性分析,探讨出现的并发症和防治办法。结果经过统计学分析发现,206例腹腔镜子宫切除术患者,23例发生并发症,发生率为11.16%,包括轻度并发症13例(6.31%),重度并发症10例(4.85%)。子宫越大、有腹部手术史、盆腔脏器粘连严重的患者并发症发生率显著增高。结论腹腔镜子宫切除术临床并发症和患者子宫大小、腹部手术史及盆腔脏器粘连情况有关,我们应该术前正确评估,合理选择术式,并做好防治工作,减少并发症发生。

Objective To summarize and analysis complications after the hysterectomy under laparoscopic and puts forward rele-vant prevention methods. Methods Collect and analyzeretrospectively the 206 cases who has done the operation of hysterectomy under laparoscopicin our hospital from 2011 January to 2014 February. Summarize the complications and preventive measures re-lated. Results Through statistical analysis we found thatin the 206 cases of the laparoscopic hysterectomy patients, postoperative complications occurred in 23 patients, the incidence was 11.16%, including mild complications in 13 cases （6.31%）, severe com-plications in 10 cases （4.85%）. The bigger uterine, a history of abdominal surgery, pelvic organ adhesionsheavily all improve rates of complications in patients. Conclusions uterine size, a history of abdominal surgery, pelvic organ adhesions are all associated with complications in patients.We should do preoperative evaluation correctly, choose properoperation type and do necessary works to reduce the occurrence of complications.