目的:分析妇科腹腔镜手术并发症的相关因素及处理措施。方法:选择2006年9月～2011年6月在长兴县长兴中医院妇科行腹腔镜手术出现并发症的80例患者,分析并发症出现的原因和处理方法。结果:阴式子宫切除术的并发症与中转开腹率显著高于子宫肌瘤剔除术(P<0.05),比附件手术并发症与中转开腹率高(P<0.01);子宫肌瘤剔除术与附件手术的并发症与中转开腹率相当(P>0.05)。结论:了解腹腔镜手术并发症的发生原因、诊断和治疗原则,掌握预防措施,是减少及预防并发症的关键。 Objective: To analyze the related factors and treatment measures of gynecological laparoscopic complications. Methods: From September 2006 to June 2011, 80 patients with complications of laparoscopic gynecology in Changxing Hospital of Changxing County were selected to analyze the causes and treatment of complications. Results: The complications of vaginal hysterectomy and the rate of laparotomy were significantly higher than those of myomectomy (P <0.05), and the incidences of complications and transit laparotomy were higher than those of adjuvant (P <0.01) Complications of surgery and accessory surgery were similar to those of laparotomy (P> 0.05). Conclusion: To understand the causes of laparoscopic complications, diagnosis and treatment principles, to master the preventive measures is the key to reduce and prevent complications.