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目的探讨妇科腹腔镜手术严重并发症发生原因及治疗情况。方法回顾性分析8 610例行妇科腹腔镜手术患者的临床资料,统计严重并发症发生情况,分析其发生原因及治疗方法。结果本组发生严重并发症33例(0.38%),其中肠道损伤4例(直肠损伤2例,小肠损伤2例),膀胱损伤12例,输尿管损伤3例,出血性损伤9例(大血管损伤2例,腹膜后血肿5例,阴道残端活动性出血2例),闭孔神经损伤3例,戳孔疝1例,腹膜后脓肿1例;给予术中修补、二次手术、保守治疗等,患者均治愈出院。结论妇科腹腔镜手术严重并发症发生与手术难度、操作技术等有关。
Objective To investigate the causes and treatment of serious complications of gynecological laparoscopic surgery. Methods The clinical data of 8 610 patients undergoing gynecological laparoscopic surgery were retrospectively analyzed. The incidence of serious complications was analyzed. The causes and treatment methods were analyzed. Results There were 33 cases (0.38%) of serious complications in this group, including 4 cases of intestinal injury (rectal injury in 2 cases, small intestine injury in 2 cases), bladder injury in 12 cases, ureteral injury in 3 cases, hemorrhagic injury in 9 cases 2 cases of injury, 5 cases of retroperitoneal hematoma, 2 cases of active vaginal bleeding), 3 cases of obturator nerve injury, 1 case of punctured hernia and 1 case of retroperitoneal abscess. Intraoperative repair, secondary surgery and conservative treatment The patients were cured and discharged. Conclusions The serious complications of gynecological laparoscopic surgery are related to the difficulty of operation and operation technique.