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妇科腹腔镜手术常见并发症分析与预防
引用本文:侯涛,章颖,袁桂兰,马向涛,余力伟.妇科腹腔镜手术常见并发症分析与预防[J].军事医学科学院院刊,2008,32(3).
作者姓名:侯涛  章颖  袁桂兰  马向涛  余力伟
作者单位:1. 北京海淀医院妇产科,北京,100080
2. 北京海淀医院外科,北京,100080
摘    要:目的:分析妇科腹腔镜手术并发症情况及其相关危险因素.方法:对北京海淀医院妇科1998年5月至2006年12月1 042例腹腔镜手术及并发症情况进行回顾性分析.结果:本研究中共有29例并发症发生,妇科腹腔镜手术并发症发生率为2.78%(29/1 042).其中包括7例血管并发症,3例膀胱损伤,2例肠管损伤,3例术后感染,2例术后异位妊娠,以及12例其他并发症.腹腔镜辅助阴式子宫切除术及腹腔镜下子宫次全切除术等并发症发生率为1.92%(20/1 042),两者比较差异有显著性(P<0.01).结论:腹腔镜手术广泛应用于治疗各种妇科疾病,手术并发症在可控范围之内.尽管如此,临床医生应该严格掌握腹腔镜手术指征,不要忽视并发症的发生.

关 键 词:妇科外科手术  腹腔镜检查  手术后并发症

Prevention and management of major complications after gynecological laparoscopy
HOU Tao,ZHANG Ying,YUAN Gui-Lan,MA Xiang-Tao,YU Li-Wei.Prevention and management of major complications after gynecological laparoscopy[J].Bulletin of the Academy of Military Medical Sciences,2008,32(3).
Authors:HOU Tao  ZHANG Ying  YUAN Gui-Lan  MA Xiang-Tao  YU Li-Wei
Institution:HOU Tao,ZHANG Ying,YUAN Gui-Lan,MA Xiang-Tao,YU Li-Wei(1. Department of Obstetrics , Gynecology,2. Department of Surgery,Beijing Haidian Hospital,Beijing 100080,China)
Abstract:Objective:To assess the incidence and type of gynecological laparoscopic complications and associated risk factors. Methods: A total of 1 042 laparoscopic procedures and their complications were analyzed retrospectively from Beijing Haidian Hospital between May 1998 and December 2006. Results: Twenty-nine complications occurred in this series. The overall complication rate after laparoscopy was 2.78% (29/1 042). These complications involved seven major vascular complications, three bladder injuries, two int...
Keywords:gynecologic surgical procedures  laparoscopy  postoperative complication  
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