腹腔镜辅助阴式子宫切除术并发症分析.pdfVIP

1 14 腹腔镜辅助阴式子宫切除术并发症分析 李荣齐玉萍 [摘要]目的探讨腹腔镜辅助阴式子宫切除术(LAVH)的并发症及其相关因素。方法 损伤1例，输尿管阴道瘘1例，肠道损伤2例，内出血2例，盆腔脓肿1例。盆腔粘连、子宫过大、子宫内膜异位症增加手术难度，并 并发症的发生。 [关键词]腹腔镜辅助阴式子宫切除术；并发症 doi：10．3969／j．issn．1000—0399：2010．02．007 of Analyzingcomplicationslaparoscopic—assistedvaginalhysterectomy LiRong，Qiy印i愕 Obstetricsand of Gynecology，PeoplesChizhou，Chizhou247000，China Department Hospitalof To the andtheirrelevantfactorsof assisted [Abstract]0bjectiveexplorecomplications laparoscopicvaginal ofwas Clinicaldata reviewedand in withLAVHandthefactorsre— (LAVH)．Methods retrospectively analyed3579ynecologicalpatients inserious from 2006to the LAVH showedserious December2008．Results 357 cases suiting complicationsJanuary Among cases，seven ratewas2％．The includedonebladder in- complications，the complications injury(onecase)，ureterovaginalfistula(one abscess．Theincidenceof became sincethe jury(twocases)，internal case)celiac hemorrhage(two general complicationshigher moredifficuhwithfactorsof oversizeandendometriosis．ConclusionThe ofLAVHhavemuchto got adhesion，uterine pelvic complications dowiththe andtheskiHsofthe onthe ofthe skillsandcorrectevalu— operationdifficulty operator．Reinforcementtrainingoperators70peration toreducethe ation tothe are incidenceofLAVH prior operationlikely complications． assisted [Keywords]Laparoscopicva