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目的:对妇科腹腔镜手术严重并发症的研究。方法:将我院从2011年3月～2012年12月期间接收的妇科腹腔镜手术患者作为研究样本,对他们的术后并发症进行研究和回顾性分析,共取得病例1000例。结果:根据病例研究结果显示,出血是妇科腹腔镜手术并发症中最为严重的并发症。与附件手术相比,子宫全切除术的中转开腹率明显升高,P<0.01,而腹腔镜辅助阴式子宫切除术的中转开腹率也升高,P<0.05。结论:依照手术类型、手术的难易度以及患者过往手术史、医生水平等相关因素,决定了妇科腹腔镜手术严重并发症的出现几率,在手术和护理过程中需要进行有针对的预防,避免这些并发症的出现。
Objective: To study the serious complications of gynecological laparoscopic surgery. Methods: From March 2011 to December 2012 in our hospital received gynecological laparoscopic surgery patients as a study sample, their postoperative complications were studied and retrospectively analyzed, a total of 1000 cases were obtained. Results: According to the case study, bleeding was the most serious complication of gynecological laparoscopic surgery. Compared with the accessory surgery, the rate of laparotomy for hysterectomy was significantly increased (P <0.01), while the laparoscopic assisted vaginal hysterectomy laparotomy rate was also increased (P <0.05). Conclusion: According to the type of surgery, the difficulty of surgery and the past history of surgery, the level of doctors and other related factors, determine the incidence of serious complications of gynecological laparoscopic surgery, surgery and nursing process need to be targeted to prevent and avoid The emergence of these complications.