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目的:探讨腹腔镜妇科手术并发症的发生、处理及预防措施,提高手术安全性。方法:对2006年1月~2009年11月进行的1 174例妇科腹腔镜手术进行回顾性分析。结果:1 174例腹腔镜手术中发生并发症35例,发生率为3.0%。其中8例需中转开腹处理,占并发症的22.9%;再次腹腔镜手术4例,占并发症的11.4%;因术后出现并发症再次手术者5例,占并发症的14.3%。结论:提高手术医师的操作技能,严格选择手术适应症,循序渐进、扬长避短地开展腹腔镜手术是减少并发症的关键。
Objective: To investigate the occurrence, treatment and preventive measures of laparoscopic gynecological surgery complications and improve the safety of surgery. Methods: A retrospective analysis of 1 174 cases of gynecologic laparoscopic surgery performed from January 2006 to November 2009 was performed. Results: A total of 1 174 cases of laparoscopic surgery occurred in 35 cases, the incidence was 3.0%. Among them, 8 cases needed to be converted to open surgery, accounting for 22.9% of complications; 4 cases of laparoscopic surgery again, accounting for 11.4% of complications; 5 cases of reoperation due to postoperative complications, accounting for 14.3% of complications. Conclusion: To improve the operating skills of surgeons, strict selection of surgical indications, step by step, to avoid weaknesses to carry out laparoscopic surgery is the key to reduce complications.