中国医药科学Issue(16):174-176,3.
妇科腹腔镜手术并发症及中转开腹危险因素分析
Analysis of risk factors for complications and conversion to lapaotomy in gynecological laparoscopic operation
牛高丽 1齐素云 1张冰洁1
作者信息
- 1. 解放军第九一中心医院妇科肿瘤科,河南焦作454850
- 折叠
摘要
Abstract
Objective To explore the reasons for complications and conversion to lapaotomy in gynecological laparoscopic operation. Methods The clinical data of 1281 patients with laparoscopy operations in our hospital from December, 2010 to December, 2013 were studied retrospectively. We observed the cases that complications and conversion to lapaotomy happened and analyzed the reasons.ResultsThe overall complication rate was 1.63% (21/1281), in which the Ⅰclass surgical complication rate was 0.12%, Ⅱ class surgical complication rate was 0.46%, Ⅲ class surgical has the same incidence rate with the Ⅱ class surgical (0.46%) and Ⅳ types of surgery occurred at rate of 0.63% . There are totally 13 cases of laparotomy with laparotomy probability of 1.01%, which mainly ascribe to: pelvic adhesions, special parts of uterine fibroids, excessive number of uterine fibroids, ovarian cancer, close to organ damage.ConclusionStrengthening the preoperative evaluation to improve laparoscopic surgical skills, being familiar with pelvic anatomy as well as having extensive experience in open surgery laparoscopic surgery all can reduce the incidence of complications and laparotomy.关键词
妇科手术/腹腔镜/并发症/中转开腹Key words
Gynecological operations/Laparoscopy/Complication/Conversion to lapaotomy分类
医药卫生引用本文复制引用
牛高丽,齐素云,张冰洁..妇科腹腔镜手术并发症及中转开腹危险因素分析[J].中国医药科学,2014,(16):174-176,3.