CAJ | 학술논문

目的:探讨妇科腹腔镜手术并发症发生的常见类型、处理及预防.方法:对我院1996年1月至2008年12月进行的8279例妇科腹腔镜手术的临床资料作回顾性分析.结果:腹腔镜手术并发症的发生率为0.88%(73/8279),腹腔内出血5例,榆尿管损伤5例,腹壁血管损伤20例,胃损伤1例,膀胱损伤1例,继发性腹腔妊娠1例,感染1例,切口疝1例,会阴部气肿10例,切口愈合不良25例.宫腹腔镜联合手术组的并发症发生率和附件手术组比较,差异无统计学意义(P>0.05),子宫肌瘤剥除术组及腹腔镜辅助阴式全子宫切除术组并发症的发生率与附件手术组相比,差异有高度统计学意义(P<0.01).结论:妇科腹腔镜手术并发症与手术难度和施术者技巧有关,应该严格按规范仔细操作、避免过度自信,降低并发症的发生率.
목적:탐토부과복강경수술병발증발생적상견류형、처리급예방.방법:대아원1996년1월지2008년12월진행적8279례부과복강경수술적림상자료작회고성분석.결과:복강경수술병발증적발생솔위0.88%(73/8279),복강내출혈5례,유뇨관손상5례,복벽혈관손상20례,위손상1례,방광손상1례,계발성복강임신1례,감염1례,절구산1례,회음부기종10례,절구유합불량25례.궁복강경연합수술조적병발증발생솔화부건수술조비교,차이무통계학의의(P>0.05),자궁기류박제술조급복강경보조음식전자궁절제술조병발증적발생솔여부건수술조상비,차이유고도통계학의의(P<0.01).결론:부과복강경수술병발증여수술난도화시술자기교유관,응해엄격안규범자세조작、피면과도자신,강저병발증적발생솔.
Objective:The causes, management, and prevention of complications in laparoscopic gyneco-logic surgery were investigated. Methods:A retrospective analysis was done based on clinical data of 8279 cases of laparoscopic gynecologic surgery from January 1996 to December 2008 in this hospital. Results:The complication rate was 0.88% (73/8279). These included five cases intraperitoneal bleeding, five cases injury of ureter, 20 cases abdominal vessel damage, 10 cases vulva emphysema, 25 cases wound healing delay and each one case respectively for stomach injury, bladder injury, secondary abdominal cavity preg-nancy,infection and incision hernia. The occurrence rates of complications between hysteroscopy combined with laparoscopic surgery and pure adnexal surgery were no difference( P >0.05). Compared to adnexal op-erations, there was a significantly higher complication rate in myomectomy and laparoscopic assistant vaginal hysterectomy (P < 0.01 ). Conclusions:Complications of laparoscopic gynecologic surgery are correlated with the difficulty of operation and the skillfulness of operators. In order to reduce complications, careful oper-ation and avoiding over self -confidence are essential.