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目的探讨引发妇科腹腔镜手术并发症的相关因素。方法对2008年3月~2013年8月在本院接受腹腔镜手术的1680例患者的临床资料进行回顾性分析。结果 1680例接受腹腔镜手术患者中有42例患者出现了并发症,占2.5%,其中气腹和穿刺并发症发病率为83.3%,手术后和手术中的并发症发病率达16.7%,气腹和穿刺引起的并发症明显高于其他类型的并发症,他们间的差异具有统计学意义(P<0.05)。结论气腹和穿刺并发症发病率明显高于其他类型并发症,正确把握手术适应证及开腹的合适时机,可以有效减少腹腔镜手术并发症的出现。
Objective To investigate the related factors of gynecological laparoscopic complications. Methods The clinical data of 1680 patients undergoing laparoscopic surgery in our hospital from March 2008 to August 2013 were analyzed retrospectively. Results Of the 1680 patients who underwent laparoscopic surgery, 42 patients developed complications, accounting for 2.5%. The incidence of complications of pneumoperitoneum and puncture was 83.3%. The incidence of complications after surgery and surgery was 16.7% Abdominal and puncture complications were significantly higher than other types of complications, the difference between them was statistically significant (P <0.05). Conclusions The incidence of complications of pneumoperitoneum and puncture is obviously higher than that of other types of complications. The proper timing of surgical indications and laparotomy can effectively reduce the occurrence of laparoscopic complications.