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目的:探究泌尿外科后腹腔镜手术并发症发生原因及解决措施,为临床改进工作提供科学依据。方法:回顾性分析我院泌尿外科2012年5月至2014年7月发生的100例后腹腔镜手术并发症患者临床资料,探究其并发症诱发因素。结果:通过回顾性分析100例后腹腔镜手术并发症患者临床资料,其诱发因素为:血管损伤20例(20%)、胸膜损伤25例(25%)、高碳酸血症32例(32%)、酸中毒15例(15%)、误夹肾动脉8例(8%)。结论:提高临床医护人员业务技能、规范操作流程能够显著降低后腹腔镜手术并发症发生率,从而提高患者恢复速度。
Objective: To investigate the causes of postoperative complications of laparoscopic surgery after urology and its solutions, and to provide a scientific basis for clinical improvement. Methods: A retrospective analysis of our hospital urology from May 2012 to July 2014 occurred in 100 cases of postoperative complications of laparoscopic surgery patients to explore the causes of complications. Results: The retrospective analysis of 100 cases of complications of retroperitoneal laparoscopic surgery, the evoked factors were: vascular injury in 20 cases (20%), pleural injury in 25 cases (25%), hypercapnia in 32 cases (32% ), Acidosis in 15 cases (15%), renal artery misdiagnosis in 8 cases (8%). Conclusion: Improving the professional skills of clinical staff and standardizing operation procedures can significantly reduce the incidence of complications of retroperitoneal laparoscopic surgery and improve the recovery speed of patients.