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【目的】分析妇科腹腔镜手术中转开腹的临床因素。【方法】回顾性分析我院1994年1月至2004年4月间7216例妇科腹腔镜手术病例中45例中转开腹的临床特点。【结果】本组中转开腹率为0.6％(45／7216),良性疾病腹腔镜操作困难、术中并发症和恶性疾病这3种原因中转开腹所占的比例分别为84.4％(38／45)、8.9％(4／45)和6.7％(3／45),在良性疾病的腹腔镜手术中转开腹中,粘连为第一位因素,占71.4％(30／42)。【结论】妇科良性疾病因腹腔镜操作困难中转开腹为第一位原因。术前应严格掌握腹腔镜手术指征,腹腔镜手术时操作困难应尽早中转开腹,可以减少并发症的发生。
【Objective】 To analyze the clinical factors of laparoscopic gynecological laparoscopic surgery. 【Methods】 A retrospective analysis of our hospital from January 1994 to April 2004 7216 gynecological laparoscopic cases of 45 cases of laparoscopic clinical features. 【Results】 The rate of laparotomy in this group was 0.6% (45/7216). Laparoscopic operation of benign diseases was difficult. The proportion of patients who underwent laparoscopic surgery in the treatment of complications and malignant diseases was 84.4% (38 / 45), 8.9% (4/45) and 6.7% (3/45), respectively. In the laparoscopic surgery for benign diseases, they were converted to open surgery. Adhesion was the first factor, accounting for 71.4% (30/42). 【Conclusion】 Gynecological benign diseases are the first reason for laparoscopic operation because of laparotomy. Preoperative indications of laparoscopic surgery should be strictly controlled, laparoscopic operation difficult to transit laparotomy as soon as possible, can reduce the incidence of complications.