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使用腹腔镜行宫颈上或阴道协助方法的全子宫切除术,其并发症的真实发生率还不清楚。1991年11月～1992年11月美国West Paces医学中心行腹腔镜子宫切除45例。其中40例是宫颈上子宫切除术,5例阴道协助下的全子宫切除术。并发症分为手术、麻醉、术后、护理、仪器5种。每种并发症又主观地划分为轻、中、重度。 手术并发症5例(11％):1例重度由Nd:YAG激光尖端造成膀胱穿孔,在腹腔镜下修补,放Foley尿管10天。2例中度系5mm套针造成的腹壁浅动脉穿孔,立即在套管部位做3cm切口,分
The use of laparoscopic cervical or vaginal assisted hysterectomy method, the true incidence of complications is unclear. From November 1991 to November 1992, 45 patients underwent laparoscopic hysterectomy at the West Paces Medical Center in the United States. Among them, 40 cases were hysterectomy on the cervix and 5 cases were assisted by hysterectomy. Complications were divided into surgery, anesthesia, postoperative care, 5 kinds of instruments. Each complication subjectively divided into light, moderate and severe. Five patients (11%) had surgical complications: one had severe perforation of the bladder with a Nd: YAG laser tip, laparoscopic repair, and a Foley catheter for 10 days. 2 cases of moderate trocar 5mm trocar caused by the superficial abdominal artery perforation, immediately in the casing to do 3cm incision, points