泌尿外科腹腔镜手术并发症临床分析

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目的对泌尿外科腹腔镜手术并发症的原因进行分析和探讨,并总结其预防方法。方法选取120例行腹腔镜手术患者,对患者的临床资料进行回顾式分析,分析患者出现并发症的原因。结果所有患者均成功完成手术,其中有21例患者出现并发症,并发症发生率为17.5%,有6例术中并发症,包括1例胸膜损伤,1例气囊破裂,腹膜损伤2例,曲卡穿刺损伤出血2例,另15例为术后并发症,包括尿漏3例,切口感染4例,皮下气肿5例,3例术后继发出血,所有21例患者经过积极的治疗后,病情均得到有效控制,均已好转。结论在泌尿外科中,患者采用腹腔镜手术治疗后,需要格外留意患者的术后症状,密切关注患者的各项生命体征,尽可能降低患者并发症发生率,针对患者出现的异常情况进行积极治疗,努力提高患者的健康质量,促进患者的康复进程。 Objective To analyze and discuss the causes of complications of urology laparoscopic surgery and summarize its prevention methods. Methods A total of 120 patients undergoing laparoscopic surgery were selected. The clinical data of the patients were retrospectively analyzed, and the causes of complications were analyzed. Results All the patients underwent surgery successfully. Among them, 21 patients had complications and the complication rate was 17.5%. There were 6 cases of intraoperative complications including 1 case of pleural injury, 1 case of balloon rupture, 2 cases of peritoneal injury, Cardiac puncture injury bleeding in 2 cases, and the other 15 cases for postoperative complications, including 3 cases of urinary leakage, incision infection in 4 cases, 5 cases of subcutaneous emphysema, 3 cases of secondary bleeding after surgery, all 21 patients after active treatment , The condition has been effectively controlled, have been improved. Conclusion In urology, patients after laparoscopic surgery need to pay special attention to the patient’s postoperative symptoms, pay close attention to the patient’s vital signs, minimize the incidence of complications in patients with active treatment for the abnormalities in patients , Strive to improve the quality of patient health and promote the patient’s recovery process.
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