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目的:探究妇科腔镜手术并发症危险因素与其对策,为以后更好的进行妇科腔镜手术提供相关资料。方法:选取2011年5月~2014年5月在我院就诊并收治的妇科腔镜手术患者230例的临床资料进行回顾性分析,总结其并发症危险因素及其对策。结果:所有患者中,出现并发症的有9例(3.91%),影响并发症发生的危险因素包括多方面,单因素分析显示,患者年龄、腔镜手术方式、年龄大小、是否存在子宫内膜异位症及是否进行过妇科腔镜手术都是影响发生并发症的因素;多因素分析显示,是否存在子宫内膜异位症及是否进行过妇科腔镜手术与并发症发生存在一定关系。并发症以皮下气肿、肩背酸痛、穿刺孔渗血等表现为主,采取相应的处理措施后,患者痊愈出院。结论:引起并发症的因素众多,且并发症发生率随腔镜手术难度的增加而上升,多数并发症能够治愈。
Objective: To explore the risk factors of gynecologic endoscopic surgery complications and its countermeasures, to provide relevant information for better gynecologic endoscopic surgery in the future. Methods: The clinical data of 230 cases of gynecologic laparoscopic surgery from May 2011 to May 2014 in our hospital were retrospectively analyzed. The risk factors of complications and their countermeasures were summarized. Results: Among all the patients, there were 9 cases (3.91%) of the complications. The risk factors of complications included multifactorial, univariate analysis showed that the age of the patients, the method of endoscopic surgery, the age, the presence or absence of endometrium Ectopic and whether performed gynecologic endoscopic surgery are the factors that affect the occurrence of complications; Multivariate analysis showed that there is a relationship between endometriosis and whether or not gynecologic endoscopic surgery and complications occurred. Complications of subcutaneous emphysema, shoulder pain, puncture hole bleeding and other performance-based, take the appropriate treatment measures, the patient was discharged. Conclusion: There are many factors that cause complications, and the incidence of complications increases with the difficulty of endoscopic surgery, most of the complications can be cured.