不同时期妇科腹腔镜手术中转开腹的原因分析

目的：探讨妇科腔镜手术开展初期以及后期中转开腹率、相关因素的变化和导致中转率下降的原因。方法：对我院妇科腹腔镜手术开展初期和后期中转开腹患者的临床资料进行回顾性分析和总结。结果：腹腔镜手术开展初期中转率为3．08％，后期为0．38％，两组之间的差异明显具有统计学意义（P〈0．05）。结论：随着医疗技术的不断发展和进步，腹腔镜技术也不断取得进步，手术器械也越来越完善，术前评估不断加强，因此，大大降低了腹腔镜手术中转开腹率，中转开腹的原因也由技术性转变为非技术性。

Objective： to investigate the cavity mirror of department of gynaecology rate in early and late transfer laparotomy surgery, the change of related factors and the cause of conversion rate decline. Methods ： our hospital gynecologic laparoscopie surgery for patients with early and late transfer laparotomy with clinical data were retrospectively analyzed and summarized. Results： the laparoscopic surgery in the early transfer rate was 3.08% , the later is 0.38% , the difference between the two groups significantly statistically significant （P 〈 0. 05 ）. Conclusion ： with the continuous development of medical technology and progress, laparoscopy has made progress, surgical instrument is becoming more and more per- fect, strengthening preoperative evaluation, therefore, greatly reduces the rate of transfer laparotomy laparoscopic surgery, the cause of the transfer laparotomy also by technical transformation for the unskilled.