妇科腹腔镜手术严重并发症17例分析.pdfVIP

回国医药盟刊 .Rñ}. 2008 年第10 卷第6 期(总第四期) - 妇科腹腔镜手术严重并发症 17 例分析 纪江海，正吉云，孙企的，李欣 (问北省怆州市人民医院的科，沧州1061001) 【摘要】目的:研究妇科腹腔镜手术严道并发挥军情况，减少和l 预防严重并发病的发生。 1ï5去:对该院 2R1ι 例的科腹腔镜孚术月斤1l1J.见的严重 并发放政hfm懒性分析。结果:2B16 例的科JlJiff在锅T;术巾，发~t: 严数并发?在 17 例，发生率为 0.61%，其中盼M.损伤 3 例.输尿管损伤 5 例，肠 管损伤 2 例，术后出血3 例，制ii在ftJl面梗阳 1 例.腹噎础 1 例，就腔版肿 2 例。结论:iE确总得脱脱钩子水边j必说，提尚子水底簸，掌搅合洁 的巾转开腹时机，是减少严重并发桩发生、提i陆手术京全性的保障。 【关键词】创料:脱脱锐孚术t 严援并发放 【中囱分拨号】民713 【文献标识码】 B (文章编号】 1009叫0959(200的06-0日63叩02 Discussion of 17 Cases of Severe Complications by Gynecological Laparoscopic Operations Ji Jiang-l邸， WangJi-川.S叫in叩bao， et al P叩artlnent of Gynecologica1. Thc Peoples Hos伊ωofCangzhou, Cangzhou 0币1ωl.China) ABSTRA Cfl Objec创ve: To analyze thc ca旧的 of 由e 5eVere complications by gyn氏。logiçal laparoscopic operatiom and 阳 di咄咄 the man- ag时到.ent and prevention for thcse complications. Method: The sevcre complications from 2816 patients with laparoscopic operations of gyneco叩 logical were reviewed retrospectiv吻.民销时以 ηle ra肥。f severe complicatJ on w描 Q.6%(17I2B16). Among 17 severe complication c割es， 3 were 町旧y of bladder. 5 were 呵ury of ureter. 2 werc injury of bowels. 3 were injury of blood vesscl, 1 was adhensive ,1 was abdorninal hemia. 2 were pelvic abscess. Condusions: Selecting proper indication for lap拙JScopic opcration, improving the quanlity and ~e1ecúng proper conversion into open !aparotomy are the 姐fcguard for reducing severe complication\ and the safety of laparosιοplC opcratJ on (KEYWO议。Sl gynccology; laparoscopic