论文部分内容阅读
目的:分析妇科腹腔镜手术并发症发生的原因及探讨其防治措施。方法:对270 例妇科患者行腹腔镜手术治疗中出现的并发症作一回顾性分析。该组病例中,输卵管手术109 例次、卵巢手术49 例次、盆腔粘连松解术71 例次、子宫肌瘤剔除术11 例次、腹腔镜协助下阴式全子宫切除术(LAVH)6 例次、卵巢癌二次探查术1例次、盆腔子宫内膜异位病灶活检+ 电灼术23 例次。结果:270 例妇科腹腔镜手术中,发生手术损伤性并发症5 例,占1.85% ,包括小肠损伤1 例、膀胱损伤1 例、腹壁套管穿刺孔出血1 例、附件内套圈结扎套圈滑脱伴出血2 例;非损伤性并发症8 例,占2.96% ,包括脐部伤口小血肿1 例、伤口感染1 例、臂丛神经损伤1 例、术后盆腔感染2 例、输卵管开窗胚胎吸出绒毛组织残留3 例。该组无1 例因并发症需行第2 次手术治疗。结论:并发症发生的原因与手术者的腹腔镜手术操作经验有关,并提出防治措施
Objective: To analyze the causes of complication of gynecological laparoscopic surgery and its prevention and treatment. Methods: A retrospective analysis of 270 cases of gynecological patients undergoing laparoscopic surgery for complications occurred. In this group of cases, tubal surgery 109 cases, ovarian surgery 49 cases, pelvic adhesions lymphadenectomy 71 cases, myomectomy 11 cases, laparoscopic assisted vaginal hysterectomy (LAVH) in 6 cases Times, 1 case of secondary exploration of ovarian cancer, pelvic endometriosis lesions biopsy + 23 cases of electrocautery. Results: In 270 cases of gynecologic laparoscopic surgery, there were 5 cases of surgical injury complications, accounting for 1.85%, including 1 cases of small bowel injury, 1 case of bladder injury, 1 case of puncture hole of abdominal wall cannulation, 2 cases of slippage and hemorrhage, 8 cases of non-invasive complication (accounting for 2.96%), including 1 case of umbilical small hematoma, 1 case of wound infection, 1 case of brachial plexus injury, 2 cases of postoperative pelvic infection, Sucked out villus tissue residue in 3 cases. None of the patients in this group needed the second surgical treatment due to complications. Conclusions: The causes of complications are related to the experience of laparoscopic operation of the surgeon and the prevention measures