CAJ | 학술논문

目的：分析腹腔镜下全子宫切除术的并发症并探讨相应的防治方法。方法回顾性分析在我院行腹腔镜下全子宫切除术的280例患者的临床资料。结果腹腔镜下全子宫切除术既有近期并发症又有远期并发症，近期并发症以损伤性并发症、阴道残端出血（2.14%）为主，远期并发症包括围绝经期症状及心血管疾病，发生率分别为2.86%和1.07%。结论腹腔镜下全子宫切除术并发症不多，是一种较安全实用的手术方式，但在操作过程中应注意术中损伤性并发症的发生，术后亦应加强随访。
목적：분석복강경하전자궁절제술적병발증병탐토상응적방치방법。방법회고성분석재아원행복강경하전자궁절제술적280례환자적림상자료。결과복강경하전자궁절제술기유근기병발증우유원기병발증，근기병발증이손상성병발증、음도잔단출혈（2.14%）위주，원기병발증포괄위절경기증상급심혈관질병，발생솔분별위2.86%화1.07%。결론복강경하전자궁절제술병발증불다，시일충교안전실용적수술방식，단재조작과정중응주의술중손상성병발증적발생，술후역응가강수방。
Objective To analyze the corresponding complications of hysterectomy under laparoscope and to explore the control methods. Methods 280 patients underwent laparoscopic hysterectomy were retrospectively analyzed in our hospital. Results There were both short-term complications and long-term complications in laparoscopic hysterectomy. The short term complications were mainly vaginal injury and stump bleeding(2.14%). And the long term complications were mainly perimenopausal symptoms and cardiovascular disease,incidence rates were 2.86%and 1.07%. Conclusion The complications of laparoscopic hysterectomy are not many, is a relatively safe and practical operation mode. But it should be noted the operation injury complications during operation and postoperative should also strengthen the follow-up.