摘要
目的探讨宫腔镜手术并发症发生原因及预防方法,以提高宫腔镜手术安全性。方法回顾性分析2002年1月-2011年12月该院宫腔镜手术中31例并发症的临床资料。结果 10年间宫腔镜手术7 723例,发生5种并发症共31例,其中子宫穿孔18例,灌流液过量吸收综合征、出血和盆腔感染各4例,宫腔粘连1例。所有患者治疗后痊愈出院。2006年之前宫腔镜手术并发症发生率明显高于2006年之后（P〈0.05）;一、二级手术的并发症发生率明显低于三、四级手术（P〈0.01）;从事宫腔镜手术时间不足1年术者并发症发生率较其他组明显升高（P〈0.01）。结论宫腔镜手术并发症发生率逐年下降,并发症的发生与术者的经验及手术难度有关。加强手术医师的分级培训、充分认识并发症、加强宫腔镜基础及临床技术训练是预防宫腔镜手术并发症发生关键。
【Objective】To investigate the causations, management and prevention methods on the complications of hysteroscopic procedures. 【Methods】Hysteroscopic procedures were retrospectively analyzed in our hospitals from January 2002 to December 2011. 【Results】Among the cases, 31（0.40%） patients developed complications, including 18 cases of uterine perforation, 4 cases of hemorrhage, 4 cases of transurethral of the prostate（TURP） syndrome, 4 cases of pelvic infection, and 1 case of intrauterine adhesions. The complication rate before 2006 was obviously greater than that after 2006（P 0.05）. The complication rate grade 1 and 2 was obviously lower than grade 3 and 4（P〈 0.01）. The complication rate in hysteroscopy made by the inexperienced developing hysteroscopic surgery less than 1 year was greater than that by the experienced（P 〈0.01）. All the 31 patients were cured.【Conclusion】It is suggested by our data that the complication in hysteroscopic procedures showed downward year by year. The complications of hysteroscopic surgery are mainly associated with the experience of surgeons and difficulty of the operation. The keys are to reduce the complications by deep understanding complications, training step by step and basic skills.
出处
《中国内镜杂志》
CSCD
北大核心
2014年第3期261-264,共4页
China Journal of Endoscopy
关键词
电外科手术
宫腔镜
并发症
electrosurgery
hysteroscopy
complications
