妇科腹腔镜手术严重并发症25例分析

冯小翠; 库亚西克孜&#183;奴尔买买提; 王才智

doi:10.13898/j.cnki.issn.1000-2200.2016.01.012

妇科腹腔镜手术严重并发症25例分析

Analysis of 25 cases with Severe complication following gynecological laparoscopic operations

摘要

摘要: 目的:探讨妇科腹腔镜手术严重并发症发生的相关因素,预防严重并发症发生。方法:对2003年6月至2013年5月完成腹腔镜手术的3210例患者资料作回顾性分析。结果:与附件手术比较,子宫切除术的并发症发生率及中转开腹率均明显升高(P<0.01);子宫肌瘤剔除术中转开腹率明显高于附件手术(P<0.01)。随术者操作经验增加及医疗器械的改进,2008年6月至2013年5月妇科腹腔镜手术例数较2003年6月至2008年5月增多,但子宫切除术严重并发症发生率明显减少(P<0.01)。结论:妇科腹腔镜手术严重并发症的发生及中转开腹率与手术种类、手术难度和术者操作水平有关。

Abstract: Objective:To analyze the related factors of the severe complications following gynecological laparoscopic operations and prevent the complications.Methods:The data of 3210 patients treated with laparoscopic surgery were retrospectively analyzed from June.2003 to May.2013.Results:Compared with the uterus adnexal surgery, the incidence of complications and transfering operation rate of hysterectomy were significantly increased(P<0.01).The transfering operation rate of hysteromyomectomy was significantly higher than that in the uterus adnexal surgery(P<0.01).The number of patients treated with gynecological laparoscopic operations increased from June.2003 to May.2008, and the incidence of severe complications of hysterectomy decreased significantly(P<0.01).Conclusions:The incidence of severe complications following gynecological laparoscopic operations and transfering operation rate are related to the operation type, operation difficulty and performer level.

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