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目的:研究探讨泌尿外科进行的腹腔镜手术后患者的并发症的发生的原因,以及预防处理措施。为临床采用腹腔镜手术治疗泌尿外科疾病提供参考。方法:回顾性分析我院自07年8月至12年8月收治的233例泌尿系统疾病患者的腹腔镜手术治疗情况。总结其中发生并发症的种类以及例数,同时分析并发症的发生原因,并对选择不同手术方法以及手术时间引发的不同并发症的类型特点进行总结分析。结果:我院近年来收治的233例泌尿外科疾病采用腹腔镜手术治疗的患者出现并发症的共有13例,并发症发生概率为5.58%,并发症类型包括腹膜损伤4例,切口出现感染2例,下腔静脉出现损伤1例,尿瘘1例,输尿管损伤1例,结肠损伤1例,腹膜后血肿1例,出现较为严重的血液碳酸含量较高并发症患者1例,腹部主动脉出现损伤患者1例。其中输尿管出现损伤的1例患者中途转为开放性手术处理。所有病人治愈出院后恢复良好,随访一年至六年不等,并无其他严重状况发生。结论:采用腹腔镜手术治疗泌尿外科疾病引发并发症的概率较高,并发症类型也较为复杂,其中腹膜损伤发生概率最高,达到并发症总例数的30.77%。严重危害着患者的生命健康以及治疗效果,临床医务工作者应提高自己的手术熟练程度,清楚各种并发症的引发原因,总结腹腔镜手术治疗泌尿外科疾病的临床经验,从而降低泌尿外科中采用腹腔镜手术治疗时发生并发症的概率,提高患者的生活治疗,治愈效率,缩短治疗时间。
OBJECTIVE: To study the causes of complications in patients undergoing laparoscopic surgery after urology and preventive measures. For clinical use of laparoscopic surgery for urological diseases provide a reference. Methods: A retrospective analysis of our hospital since August 2007 to August 12,233 cases of patients with urinary tract diseases laparoscopic surgery. To summarize the types of complications and the number of cases, analyze the causes of complications, and summarize the characteristics of different types of complications caused by different surgical methods and operation time. Results: In our hospital, 233 cases of urological diseases were treated by laparoscopic surgery in recent years, a total of 13 cases of complications, the incidence of complications was 5.58%, the type of complications including peritoneal injury in 4 cases, incision infection in 2 cases 1 case of inferior vena cava injury, 1 case of urinary fistula, 1 case of ureteral injury, 1 case of colonic injury, 1 case of retroperitoneal hematoma, 1 case of more serious complications of blood carbonic acid and 1 case of abdominal aorta injury 1 case. One patient with ureteral injury was switched to an open surgical procedure. All patients recovered well after they were cured. Follow-up ranged from one year to six years and no other serious condition occurred. Conclusion: Laparoscopic surgery for urological diseases caused by higher probability of complications, the type of complications are more complicated, of which the highest incidence of peritoneal injury, the total number of complications reached 30.77%. Seriously endangering the life and health of patients and the treatment effect, clinical medical workers should improve their proficiency in surgery, clear the causes of various complications, summarize the clinical experience of laparoscopic surgery for urological diseases, thereby reducing the use of urology The probability of complications when laparoscopic surgery, improve patient life treatment, cure efficiency, shorten the treatment time.