摘要
目的 探讨腹腔镜手术并发症的原因及其防治措施。 方法 回顾分析从 1995年 1月至 2 0 0 2年 3月因不同原因行腹腔镜手术的 415 0例不同的手术方法并发症。 结果 腹腔镜手术并发症 18例 ,占 0 .43 % (18/4 15 0 )。其中伤口愈合延迟、皮下气肿、出血、脏器损伤分别占腹腔镜手术的 0 .10 % (4 /4 15 0 )、0 .14 % (6/4 15 0 )、0 .0 7% (3 /4 15 0 )、0 .12 % (5 /4 15 0 )。分别占腹腔镜手术并发症的 2 2 .2 % (4 /18)、3 3 .3 % (6/18)、16.7% (3 /18)、2 8.0 % (5 /18)。 结论 视野暴露困难、盆腹腔粘连、盲目钳夹电凝止血、手术操作不熟练、切口清洗消毒不彻底 。
Objective To study on the causes of complication and their prohylaxis and treatment during laparoscopic operation of gynecology. Methods 4150 patients received genecological laparoscopic operation were reviewed retrospectively from January 1995 to March 2002. Results The occurance rate of complication was 0.43%(18/4150).Among them delayed healing of operative wound 0.10%(4/4150),subcutaneous emphysema 0.14%(6/4150),intrapelvic bleeding 0.07%(3/4150),visceral injury 0.12%(5/4150).The rate of above conditions occurred in laparoscopic surgery was 22.2%(4/18),33.3%(6/18),16.7%(3/18),8.0%(5/18) respectively. Conclusions The difficulty of exposure of the visual ficld,pclvic and intraperitoneal adhesion,electrode clotting blindly,unskillful operative management and a poor sterilization of wound may account for the laparoscopic operation complication.
出处
《中国微创外科杂志》
CSCD
2002年第3期165-166,共2页
Chinese Journal of Minimally Invasive Surgery
