主动中转开腹在妇科腹腔镜手术中的作用  

The Effect of Active Conversion into Open Laparotomy during Laparoscopic Gynecologic Procedures

作　　者：李荣[1] 

机构地区：[1]池州市人民医院妇产科,247000

出　　处：《安徽医学》2011年第10期1721-1723,共3页Anhui Medical Journal

摘　　要：目的探讨妇科腹腔镜手术中主动中转开腹对减少并发症的作用。方法回顾性分析1 578例妇科腹腔镜手术病例,分析中转开腹的原因。结果 1 578例妇科腹腔镜手术中中转开腹35例,中转开腹率为2.2%。其中粘连13例,特殊部位病变致镜下操作困难12例,损伤1例,出血6例,恶性肿瘤1例,其他2例。结论妇科腹腔镜手术中遇到严重粘连、特殊部位病变致操作困难、泌尿道、肠道损伤、止血困难、未预测的恶性肿瘤或其他疾患,超出术者的处理能力时应适时主动中转开腹。Objective To investigate the complication reducing effect of active conversion into open Laparotomy during gynecologic laparoscopy.Methods To review the 1578 laparoscopy cases operated in our hospital from Jan.2006 to Dec.2010 and analyze the reasons for conversion into open laparotomy.Results 35 cases in 1578 conducted convertion into open laparotomy,and the ratio is 2.2%.There were 13 cases of adhesion,12 cases of difficult laparoscopic operation due to the lesion in particular regions,1 case of injury,6 cases of hemorrhage,1 case of malignant tumor and 2 other cases.Conclusion The operator of laparoscopic surgery should convert into open laparotomy actively when the situation is beyond the his（her） ability such as actue adhesion,difficult laparoscopic operation due to the lesion in particular regions,the injury of urinary tract or bowel,the trouble in hemostasis,unpredictable malignancy or other events.

关 键 词：妇科腹腔镜手术 中转开腹 盆腔粘连 

分 类 号：R713[医药卫生—妇产科学]