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目的探讨妇科腔镜手术并发症发生情况及发生的相关影响因素。方法选取我院1 160例妇科腔镜手术患者的临床资料进行回顾性分析。结果并发症总发生率为3.7%,其中Ⅰ类、Ⅱ类、Ⅲ类、Ⅳ类并发症的发生率分别为1.0%、7.1%、9.0%、25.9%。单因素分析显示,子宫大小、年龄大小、腔镜手术方式、有无子宫内膜异位症史与妇科腔镜手术并发症的发生存在相关性,都是危险因素。多因素Logistic分析显示,有无子宫内膜异位症病史、腔镜手术方式是影响并发症发生的因素。结论妇科腔镜手术并发症主要为术中失血过多及术后感染,有子宫内膜异位症病史的患者妇科腔镜手术并发症发生率更大,且腔镜手术难度越大,并发症发生率越大。
Objective To investigate the incidence of gynecological endoscopic complications and related factors. Methods The clinical data of 1 160 gynecologic laparoscopic surgery patients in our hospital were retrospectively analyzed. Results The total complication rate was 3.7%. The incidences of class Ⅰ, Ⅱ, Ⅲ and Ⅳ complications were 1.0%, 7.1%, 9.0% and 25.9% respectively. Univariate analysis showed that the size of the uterus, age, endoscopic surgery, with or without endometriosis and gynecological endoscopic complications related to the occurrence of complications, are risk factors. Multivariate Logistic analysis showed that there was no history of endometriosis and endoscopic surgery was the influencing factor of complications. Conclusions The main complications of gynecologic endoscopic surgery are intraoperative blood loss and postoperative infection. Patients with a history of endometriosis have a higher incidence of complications of gynecologic endoscopic surgery, and the more difficult the endoscopic surgery is, and complications The greater the incidence.