摘要
目的观察妇科腹腔镜手术并发症并对中转开腹患者的危险因素进行分析。方法 821例患者进行腹腔镜手术,观察患者的术中并发症情况,以及中转开腹相关危险因素。结果所有患者中45例发生并发症,20例行中转开腹手术,其中粘连松解术、未使用举宫棒钝头举宫、手术时间过长、术中止血不良是导致妇科腹腔镜手术中转开腹的危险因素。结论粘连松解术、未使用举宫棒钝头举宫、手术时间过长、术中止血不良是导致妇科腹腔镜手术中转开腹的危险因素,术前综合评估患者具有的危险因素后选择手术方案,对降低中转开腹率具有重要的临床意义。
Objective To analyze the risk factors for complications and conversion to laparotomy in gynecological laparo- scopic operation. Methods A total of 821 cases of patients were given laparoscopic operation,the risk factors for their in- traoperative complications and conversion to laparotomy were observed. Results Complications occurred in 45 cases of 821 cases in the treatment of gynecologic laparoscopic operation, 20 cases were conversion to open operation,the lysis of adhe- sions, unused uterus lifting rod blunt to lift uterus, operation time, and bad intraoperative hemostasis were the risk factors that lead patients to laparotomy in laparoscopic gynecologic operation. Conclusion Lysis of adhesions,unused uterus lifting rod blunt to lift uterus, operation time, bad intraoperative bleeding are the risk factors that lead patients to laparotomy, the selection of operation scheme should be according to the preoperative assessment of risk factors;it has important clini- cal value to reduce the rate of conversion Lo open.
出处
《中国现代医生》
2012年第31期27-28,共2页
China Modern Doctor
关键词
并发症
妇科腹腔镜手术
中转开腹
危险因素
LOGISTIC回归分析
Complications
Gynecological laparoscopic operation
Conversion to laparotomy
Risk factors
Logistic regression analysis
