论文部分内容阅读
目的:就妇科腹腔镜手术中转开腹进行临床观察。方法:选取我院2012年12月到2014年12月所收治的290例妇科腹腔镜手术患者为观察对象。结果:本组患者中有30例中转开腹,中转开腹率达到了10.34%。最为主要的中转开腹原因是盆腔粘连,占到了63.89%。无腹部手术史者的中转开腹率为9.52%,有腹部手术史者的中转开腹率为12.50%,二者之间存在着较为明显的差异,具有统计学意义(P<0.05)。结论:妇科腹腔镜手术中转开腹的常见原因以盆腹腔粘连为主,术前加强评估,术中加强观察,一旦发现问题及时中转开腹,这样能够最大限度地避免出现并发症。
OBJECTIVE: To observe the laparoscopic gynecological laparoscopic surgery in patients with laparotomy. Methods: A total of 290 gynecological laparoscopic patients admitted to our hospital from December 2012 to December 2014 were selected as the observation subjects. Results: Thirty patients in this group were converted to open surgery and the rate of laparotomy was 10.34%. The main reason for laparotomy is pelvic adhesions, accounting for 63.89%. The rate of laparotomy was 9.52% in patients without history of abdominal surgery, and the rate of laparotomy was 12.50% in patients with history of abdominal surgery. There was a significant difference between them (P <0.05). Conclusion: Laparoscopic gynecologic laparoscopic surgery to open the common cause of abdominal adhesions to abdominal-based, preoperative assessment to strengthen the surgery to strengthen the observation, once found the problem in time to open laparotomy, so as to maximize the avoidance of complications.