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妇科腹腔镜手术73例并发症的临床分析
引用本文:邱骏,郭玉娜,钟蕙芳.妇科腹腔镜手术73例并发症的临床分析[J].实用妇产科杂志,2010,26(3).
作者姓名:邱骏  郭玉娜  钟蕙芳
作者单位:上海交通大学附属国际和平妇幼保健院,上海,200030
摘    要:目的:探讨妇科腹腔镜手术并发症发生的常见类型、处理及预防.方法:对我院1996年1月至2008年12月进行的8279例妇科腹腔镜手术的临床资料作回顾性分析.结果:腹腔镜手术并发症的发生率为0.88%(73/8279),腹腔内出血5例,榆尿管损伤5例,腹壁血管损伤20例,胃损伤1例,膀胱损伤1例,继发性腹腔妊娠1例,感染1例,切口疝1例,会阴部气肿10例,切口愈合不良25例.宫腹腔镜联合手术组的并发症发生率和附件手术组比较,差异无统计学意义(P>0.05),子宫肌瘤剥除术组及腹腔镜辅助阴式全子宫切除术组并发症的发生率与附件手术组相比,差异有高度统计学意义(P<0.01).结论:妇科腹腔镜手术并发症与手术难度和施术者技巧有关,应该严格按规范仔细操作、避免过度自信,降低并发症的发生率.

关 键 词:妇科  腹腔镜手术  并发症

Analyzing Complications of 73 Cases of Laparoscopic Gynecologic Surgery
QIU Jun,GUO Yuna,ZHONG Huifang.Analyzing Complications of 73 Cases of Laparoscopic Gynecologic Surgery[J].Journal of Practical Obstetrics and Gynecology,2010,26(3).
Authors:QIU Jun  GUO Yuna  ZHONG Huifang
Institution:QIU Jun,GUO Yuna,ZHONG Huifang(Shanghai Jiaotong University Medical College International Peace Maternal , Child Health Hospital,Shanghai 200030,China)
Abstract:Objective:The causes, management, and prevention of complications in laparoscopic gynecologic surgery were investigated.Methods:A retrospective analysis was done based on clinical data of 8279 cases of laparoscopic gynecologic surgery from January 1996 to December 2008 in this hospital.Results:The complication rate was 0.88% (73/8279).These included five cases intraperitoneal bleeding, five cases injury of ureter, 20 cases abdominal vessel damage,10 cases vulva emphysema, 25 cases wound healing delay and ea...
Keywords:Gynecology  Laparoscopic surgery  Complication
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