妇科腹腔镜手术并发症的常见类型和预防方法的探讨

摘要

Objective To study the analysis and prevention of common types of laparoscopic surgery complications.Methods Laparoscopic surgery in our hospital in October 2009 to October 2014 were 3000 cases of complications types and corresponding methods of prevention in all patients after surgery appeared analysis.Results All patients had postoperative complications and 26patients, the incidence of complications was0.87% in laparoscopy. All complications, poor wound healing in 9cases, 8cases of abdominal vascular injury, perineal emphysema 2 cases, ureteral injury in 2 cases, 2 cases of abdominal bleeding, secondary abdominal pregnancy, infection and incisional hernia 1 case. Differences in uterine fibroids cystectomy group and LAVH group and accessories surgical complications between the groups was statistically significant (P<0.05). Palace of laparoscopic surgery group compared with the attachment surgery group, the difference was not statistically significant (P>0.05).Conclusion For patients with gynecologic laparoscopic surgery complications and surgical methods and surgical techniques related to the need for strict during surgery operation, as far as possible to reduce the incidence of surgical complications.%目的：研究分析妇科腹腔镜手术并发症的常见类型和预防方法。方法选择该院在2009年10月—2014年10月进行的妇科腹腔镜手术患者3000例，对所有患者在手术后出现的并发症类型以及相应的预防方法进行分析。结果所有患者在腹腔镜术后出现并发症患者26例，并发症的发生率为0.87%。所有并发症中，切口愈合不良9例，腹壁血管损伤8例，会阴部气肿2例，输尿管损伤2例，腹腔内出血2例，继发性腹腔妊娠、感染以及切口疝各1例。子宫肌瘤剥除术组和LAVH组与附件手术组并发症之间的差异具有统计学意义(P<0.05)。宫腹腔镜联合手术组与附件手术组相比，差异没有统计学意义(P>0.05)。结论对于妇科腹腔镜手术患者出现并发症与手术方法以及进行手术的技巧相关，在手术时需要严格进行操作，尽可能的降低手术并发症的发生率。