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目的分析泌尿外科后腹腔镜手术并发症的原因及防治策略。方法选取2010年6月至2012年6月本院泌尿外科行后腹腔镜手术治疗的60例患者为研究对象,分析后腹腔镜手术并发症原因。结果 60例行后腹腔镜手术的患者中12例出现并发症,占20%,其中,严重并发症3例(5%),包括十二指肠损伤2例、下腔静脉损伤1例;轻度并发症9例(15%),包括皮下气肿6例,腹膜撕裂3例。结论通过分析泌尿外科后腹腔镜手术并发症的发生原因,进行相应的手术操作训练,有助于医师熟悉腹腔镜及其后腹腔镜手术操作,有助于掌握临床后腹腔镜手术并发症的特点,可有效降低泌尿外科后腹腔镜手术并发症发生率。
Objective To analyze the causes and control strategies of complications after laparoscopic surgery in urology. Methods From June 2010 to June 2012, 60 patients undergoing laparoscopic surgery in urology department of our hospital were selected as the research object, and the causes of postoperative laparoscopic surgery were analyzed. Results Of the 60 patients who underwent laparoscopic surgery, 12 cases showed complications, accounting for 20%. Among them, 3 cases (5%) had severe complications including 2 cases of duodenal injury and 1 case of inferior vena cava injury; Degree of complications in 9 cases (15%), including 6 cases of subcutaneous emphysema, peritoneal tear in 3 cases. Conclusions The analysis of the causes of complications after laparoscopic surgery in urology and corresponding training of surgical operation will help doctors familiar with laparoscopic and subsequent laparoscopic operation and help to grasp the characteristics of postoperative laparoscopic surgery , Can effectively reduce the incidence of complications after laparoscopic urology surgery.