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目的探讨宫腔镜手术并发症的致病原因和应对措施。方法 48例宫腔镜手术并发症患者,对患者的病史资料进行回顾性分析。结果 48例患者中子宫穿孔15例、宫腔粘连16例、大出血8例、灌流液过度吸收综合征4例、空气栓塞1例、输卵管绝育子宫内膜去除术后综合征4例。其中以宫腔粘连和子宫穿孔的发病率最为显著,所有患者经对症治疗后均顺利痊愈。结论引起宫腔镜手术并发症的主要因素有宫腔内操作复杂、子宫肌壁破坏较深、子宫内膜残留和宫腔灌流压力过高,通过改善施术者的手术能力、行腹腔镜监护和加强围手术期护理,能够有效的降低宫腔镜手术并发症的发生率。
Objective To investigate the causation and treatment of complications of hysteroscopic surgery. Methods Forty-eight patients with hysteroscopic complications were retrospectively analyzed. Results 48 cases of uterine perforation in 15 cases, intrauterine adhesions in 16 cases, 8 cases of bleeding, perfusion fluid hypersensitivity syndrome in 4 cases, air embolism in 1 case, tubal sterilization endometrial ablation syndrome in 4 cases. Among them, the incidence of intrauterine adhesions and uterine perforation was the most significant, and all patients recovered successfully after symptomatic treatment. Conclusions The main factors leading to the complications of hysteroscopic surgery are complicated intrauterine operation, deep destruction of the muscle wall of the uterus, excessive endometrial remnant and intrauterine perfusion pressure. By improving the operative ability of the operator, laparoscopic monitoring And strengthen perioperative care, can effectively reduce the incidence of complications of hysteroscopic surgery.