CAJ | 학술논문

目的：探讨宫腔镜手术并发症的致病原因和应对措施。方法48例宫腔镜手术并发症患者，对患者的病史资料进行回顾性分析。结果48例患者中子宫穿孔15例、宫腔粘连16例、大出血8例、灌流液过度吸收综合征4例、空气栓塞1例、输卵管绝育子宫内膜去除术后综合征4例。其中以宫腔粘连和子宫穿孔的发病率最为显著，所有患者经对症治疗后均顺利痊愈。结论引起宫腔镜手术并发症的主要因素有宫腔内操作复杂、子宫肌壁破坏较深、子宫内膜残留和宫腔灌流压力过高，通过改善施术者的手术能力、行腹腔镜监护和加强围手术期护理，能够有效的降低宫腔镜手术并发症的发生率。
목적：탐토궁강경수술병발증적치병원인화응대조시。방법48례궁강경수술병발증환자，대환자적병사자료진행회고성분석。결과48례환자중자궁천공15례、궁강점련16례、대출혈8례、관류액과도흡수종합정4례、공기전새1례、수란관절육자궁내막거제술후종합정4례。기중이궁강점련화자궁천공적발병솔최위현저，소유환자경대증치료후균순리전유。결론인기궁강경수술병발증적주요인소유궁강내조작복잡、자궁기벽파배교심、자궁내막잔류화궁강관류압력과고，통과개선시술자적수술능력、행복강경감호화가강위수술기호리，능구유효적강저궁강경수술병발증적발생솔。
Objective To investigate the cause of hysteroscopic surgery complications and response measures. Methods Retrospectively analyzed clinical data of 48 patients with hysteroscopic surgical complications. Results Out of 48 patients, 16 cases of uterine perforation, 15 cases of intraoperative bleeding, 4 cases of excessive absorption perfusion syndrome, 1 case of air embolism, 4 cases of endometrial ablation tubal sterilization surgery syndrome and intrauterine adhesions, which intrauterine adhesions and uterine perforation the incidence of the most significant in all patients after symptomatic treatment, all patients were successfully cured. Conclusion The main factors causing complications are hysteroscopy intrauterine complex operation, deeper damage to muscle wall of the uterus, high endometrial and uterine residual perfusion pressure, by improving the ability of the performer's surgery, laparoscopic custody and perioperative care, can effectively reduce the incidence of hysteroscopic surgery complications.