论文部分内容阅读
目的研究腹腔镜下卵巢子宫内膜异位囊肿剔除术相关并发症的发生情况。方法回顾性分析北京协和医院1994年1月至2006年1月收治的2867例腹腔镜下卵巢子宫内膜异位囊肿剔除术患者的近、远期并发症的发生情况。结果总计并发症9例,发生率为0·3%。其中近期并发症包括术中髂血管损伤2例、肠损伤3例,术后盆腔脓肿1例;远期并发症有输尿管梗阻导致单侧肾积水进而肾功能丧失1例和卵巢功能早衰2例。结论卵巢子宫内膜异位囊肿腹腔镜手术存在肠道?输尿管与腹膜后血管损伤的风险,远期可发生卵巢功能早衰这种罕见并发症。
Objective To study the incidence of laparoscopic ovarian endometriosis resection related complications. Methods The clinical data of 2867 laparoscopic ovarian endometriotic cyst resections from January 1994 to January 2006 in Peking Union Medical College Hospital were analyzed retrospectively. Results Total complication in 9 cases, the incidence was 0.3%. Among them, the recent complications include 2 cases of iliac vascular injury, 3 cases of intestinal injury and 1 case of postoperative pelvic abscess. The long-term complications include ureteral obstruction, 1 case of unilateral hydronephrosis and 2 cases of premature ovarian failure . Conclusion Ovarian endometriosis cyst laparoscopic surgery there is the risk of intestinal ureter and retroperitoneal vascular injury may occur in the future a rare complication of premature ovarian failure.