妇科腹腔镜手术与体位有关的并发症及其防治

目的:探讨妇科腹腔镜手术与体位有关的并发症及其防治。方法:回顾性分析我院2003年3月至2005年5月122例妇科腹腔镜手术术中体位安置的体会。结果:均顺利完成手术,仅于腹腔镜手术开展初期出现术后肩部疼痛4例,神经损伤2例,体位性低血压2例。采取预防措施后90例手术未发生由于体位护理不当导致的术中、术后并发症及死亡病例。结论:术中合理安置患者体位,可有效减少与体位有关的并发症的发生。

Complications and their prophylaxis treatment of laparoscopic gynecologic surgery about body position

Objective:To study the complications and their prophylaxis and treatment of laparoscopic gynecologic surgery about body position.Methods:Respectively the positions of resettlement of 122 gynecological laparoscopic operations in our hospital from March 2003 to May 2005 were analyzed retrospectively.Results:All operations were done successfully.Only 4 patients who had pain of their shoulders after operations,2 patients who had neuroinjure and 2 patients who had postural hypotension in the initial stage of carrying out gynecological laparoscopic operation.After taking some preventive measures,succedent 90 patients have no complications during operation and postoperation.Conclusions:Reasonable resettlement of patient′s position can obviously reduce some complications owe to position of their operations.