| 妇科腹腔镜手术即刻中转开腹原因及处理 |
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| 引用本文： | 宋琼,薛梅. 妇科腹腔镜手术即刻中转开腹原因及处理[J]. 腹腔镜外科杂志, 2010, 15(6): 465-467. DOI: 10.3969/j.issn.1009-6612.2010.06.025 |
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| 作者姓名： | 宋琼 薛梅 |
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| 作者单位： | 曲靖市第二人民医院,云南,曲靖,655000;曲靖市第二人民医院,云南,曲靖,655000 |
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| 摘 要： | 目的:探讨妇科腹腔镜手术即刻中转开腹的指征、原因、处理及意义。方法:回顾分析2003年1月至2009年12月施行的1947例妇科腹腔镜手术中66例即刻中转开腹患者的临床资料。结果:妇科腹腔镜手术即刻中转开腹的发生率为3.4%,主要原因有盆腹腔严重粘连、下腹部手术史、出血、损伤、未预计的卵巢癌、器械故障等。结论:术前严格掌握腹腔镜手术指征,正确掌握中转开腹时机及开腹后的处理,是预防和治疗妇科腹腔镜手术并发症的有效措施。
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| 关 键 词： | 妇科外科手术 腹腔镜检查 剖腹术 并发症 |
Causes and treatment of gynecologic laparoscopic surgery immediate conversion to laparotomy |
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| SONG Qiong,XUE Mei. Causes and treatment of gynecologic laparoscopic surgery immediate conversion to laparotomy[J]. Journal of Laparoscopic Surgery, 2010, 15(6): 465-467. DOI: 10.3969/j.issn.1009-6612.2010.06.025 |
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| Authors: | SONG Qiong XUE Mei |
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| Affiliation: | SONG Qiong,XUE Mei.Dept.of Gynecology and Obstetrics,the Second People's Hospital of Qujing City,Qujing 655000,China |
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| Abstract: | Objective:To explore the indications,causes,treatment and significance of immediate conversion of gynecologic laparoscopic surgery to laparotomy.Methods:Clinical data of 66 cases converted to laparotomy during the operation out of 1 947 cases of gynecologic laparoscopic surgery from Jan.2003 to Dec.2009 were analyzed retrospectively.Results:The incidence rate of immediate conversion of gynecologic laparoscopic surgery to laparotomy was 3.4%,mainly because of serious pelvic and abdominal cavity adhesions,low... |
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| Keywords: | Gynecologic surgical procedures Laparoscopy Laparotomy Complications |
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