妇科诊治中腹腔镜并发症的探讨

THE DISCUSSION OF COMPLICATION IN GYNECOLOGY TREATMENT AND DIAGNOSIS OF CAPAROSCOPY.

目的 :对腹腔镜诊疗中的并发症进行探讨。方法 :采用德国 stores腹腔镜对 110 2 0例腹腔镜诊疗患者中发生并发症的 15例进行分析。结果 :15例并发症中 ,气肿、血管损伤、肠损伤、膀胱损伤是腹腔镜诊疗中的主要类型。结论 :腹腔镜诊疗中的并发症可发生于操作中的任何阶段。不正确的进针技术、套管针穿刺过深、电灼伤、手术灼解以及操作技术不成熟是引起并发症发生的主要原因。加强腹腔镜操作技能培训 ,满意气腹的形成 。

Objective:To discuss the complication in treatment and diagnosis of caparoscopy.Methods:Using stores caparoscopy(german) to analyze the 15 cases with complication out of 11020 cases in treatment and diagnosis of caparoscopy.Results:In the 15 complication cases,burning seperation,vessel injury,intestine injury and paravesical injury are the main styles in the treatment and diagnosis of caparoscopy.Conclusions:The complication in treatment and diagnosis of caparoscopy can occur at any stage of operation.Incorrect operation puncturing skills,over depth of puncturing are the major causes for causing complication.To improve the skill training of caparoscopy operation,satisfying gas abdom,concerning of anatomy structure can decrease the occurrence rate of complication.