妇科腹腔镜手术严重并发症8例分析.pdfVIP

Vol. 9 No.4 中闺内镜杂志 China Journal of Endoscopy Aprl. 2∞4 文章编号: 1007 1989(2ω4)04 -∞39 -02 ·论著· 妇科腹腔镜手术严重并发症 8 例分析 张敏，批敏，许可可，张天峰，玉春平，周 明，罗光楠 (深圳市罗湖医院妇产科微创治疗中心，广东深圳 518001) 摘要:目的研究妇科腹舷镜手术产安并发痪情况，减少和预防严交并发症的发生。方法 对该院728 例妇科威胶镜手术所出现的严才在并发症进行回顾性分析。结果 728 例妇科腹腔镜子术中，发生严重并发症 8 例，发生率为1.09% .其中膀胧损伤 1 例，输尿管损伤 2 例，肠管损伤 2 例，血管损伤出血3 例。结论 iE.确 选择腹腔镜子术适应证，提高手术质量，掌握合适的中转开腹时机，是减少严重并发症发生、提高手术安全性 的保障。 关键词: 妇科;腹腔镜子术;产爱并发戒 中朋分类号: R713 文献标iR码: A Discussion about 8 cases with severe complications following gynecological laparoscopic operations ZHANG Min , DUN Min , XU Ke - ke , ZHANG Tian 叩 feng ， WANG Chun - ping , ZHOU Ming and LUO Guang -lan (Mi阳te Injunes Treatment Center 01 仲naecoÚJ盯 and Obstetncs , Shenzhen Louhu Hospit时， She阳hen ， Glωngdong 518001 , P. R. Chinα) Abstract: Objective: To analyze the causes of the severe complications by gynecological laparoscopic ope卧 tions and to discuss the management and prevention for these ωmplicatoins. Methods:The severe complications from 728 patients with laparoscopic operation of gynecology were reviewed retrospectively. Results:The rate of severe com帽 plication w邸 1. 09% (81728) .Among 8 severe complication cases. 1 was injury of bladder. 2 were injury of ureter , 2 were injury of bowels. 3 was injurγof blood v创sel. Conclusions: Selecting proper indication for lap町ωcopic opera- tion , improving the quanlity and selecting proper o