不同时期妇科腹腔镜手术中转开腹的对照研究  

Comparative study of conversion to open surgery in patients received gynecological laparoscopic operations in different period

作　　者：曾秀华[1] 王春平[1] 张天峰[1] 温美珍[1] 黄晓玲[1] 

机构地区：[1]深圳市罗湖区人民医院,广东深圳518001

出　　处：《腹腔镜外科杂志》2012年第4期248-250,共3页Journal of Laparoscopic Surgery

摘　　要：目的:探讨妇科腹腔镜手术开展初期及后期中转开腹率、相关因素的变化及中转率下降的原因。方法:回顾分析妇科腹腔镜手术开展初期及后期中转开腹患者的临床资料。结果:腹腔镜手术开展初期中转率为3.06%(13/425),后期为0.38%(21/5 569),两组相比,差异有统计学意义(P<0.01)。结论:随着腹腔镜技术水平的不断提高、手术器械的不断完善及术前病情评估的加强,腹腔镜手术中转开腹率显著下降,中转开腹的原因由技术性向非技术性转变。Objective： To explore the conversion to laparotomy rate, change in related factors and the reason of decline of con- version to laparotomy in the early and late period of gynecological laparoseopic operations. Methods：The clinical data of patients who were converted from laparoscopic surgery to laparotomy in initial stage and late stage were analyzed retrospectively. Results：The inci- dent rate of conversion from laparoscopie surgery to laparotomy during initial stage of laparoscopie surgery was 3.06% （ 13/425 ） , and the incident rate was 0.38% （21/5 569） during the late stage. There was significantly statistical difference （ P 〈 O. 01 ）. Conclusions： With the continuous improvement of operative techniques, surgical instruments and preoperative assessment, the incident rate of conver- sion from laparoseopy to open surgery decreases significantly, and the causes of conversion to open surgery shift from the technical to the non-technical.

关 键 词：妇科外科手术 腹腔镜检查 中转开腹 

分 类 号：R713[医药卫生—妇产科学]