腹腔镜下全子宫切除术术后并发症发生的相关因素分析
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摘要
目的探讨腹腔镜下全子宫切除术患者术后并发症发生的相关因素。方法 回顾性分析106例腹腔镜下全子宫切除术患者的临床资料。结果 106例患者术后并发症发生率为14.15%,发生率最高的是皮下气肿(3.77%),其次是残端感染(2.88%)、盆腔包裹性积液(2.88%),盆腔手术史(P=0.037)、术前贫血(P=0.03)、子宫>孕12周大小(P=0.022)、手术时间>120min(P=0.033)、手术出血量>100.ml(P=0.013)为术后并发症发生的危险因素,其中术前贫血(OR=9.939,P=0.048)、手术时间>120min(oR=6.120,P=0.038)为术后并发症发生的独立危险因素。结论术前贫血、手术时间>120min为患者术后并发症发生的独立危险因素。
Objective To assess the risk factors of postoperative complications in patients undergoing laparoscopic hysterectomy.Methods Clinical data of 106 patients undergoing laparoscopic total hysterectomy were analyzed retrospectively.Results Incidence rate of postoperative complications of 106 patients was 14.15%.The complication with highest incidence was subcutaneous emphysema(3.77%),followed by the vaginal wound infection(2.88%),pelvic cavity effusion(2.88%).History of pelvic surgery(P=0.037),preoperative anemia(P=0.03),uterine size >12w of pregnancy(P=0.022),operation time >120 min(P =0.033),intraoperative blood loss >100 ml(P=0.013) were associated with postoperative complications in laparoscopic total hysterectomy.Preoperative anemia(OR=9.939,P=0.048) and operation time >120min(OR=6.120,P=0.038) are the independent risk factors of complications for laparoscopic total hysterectomy.Conclusion Preoperative anemia and operation time >120min are related to the incidence of complications for laparoscopic total hysterectomy.
Objective To assess the risk factors of postoperative complications in patients undergoing laparoscopic hysterectomy.Methods Clinical data of 106 patients undergoing laparoscopic total hysterectomy were analyzed retrospectively.Results Incidence rate of postoperative complications of 106 patients was 14.15%.The complication with highest incidence was subcutaneous emphysema(3.77%),followed by the vaginal wound infection(2.88%),pelvic cavity effusion(2.88%).History of pelvic surgery(P=0.037),preoperative anemia(P=0.03),uterine size >12w of pregnancy(P=0.022),operation time >120 min(P =0.033),intraoperative blood loss >100 ml(P=0.013) were associated with postoperative complications in laparoscopic total hysterectomy.Preoperative anemia(OR=9.939,P=0.048) and operation time >120min(OR=6.120,P=0.038) are the independent risk factors of complications for laparoscopic total hysterectomy.Conclusion Preoperative anemia and operation time >120min are related to the incidence of complications for laparoscopic total hysterectomy.
引文
[1]陈淑琴,姚书忠,牛刚,等.216例腹腔镜下全子宫切除术的临床观察[J].中国内镜杂志,2007,13(12):1271-1275.
[2]张雪芹.腹腔镜下子宫切除术三种不同手术方式效果比较[J].中国妇幼保健,2012,27(17):2681-2683.
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[4]杨东芳,薛敏.腹腔镜子宫切除术的并发症及其防治[J].临床和实验医学杂志,2009,8(6):113-114.
[5]谭先杰,吴鸣,马水清.改良腹腔镜子宫切除术的临床结局[J].协和医学杂志,2011,2(2):134-138.
[6]赵珺,陈智明.腹腔镜全子宫切除术373例并发症分析[J].齐齐哈尔医学院学报.2013,34(24):3599-3601.
[7]Peng C,Jin H R,Sun X,et al.Analysis of the complications of g ynecological laparoscopic operation within 10 years[J].Zhonghua fu chan ke za zhi,2014,49(3):179-182.
[2]张雪芹.腹腔镜下子宫切除术三种不同手术方式效果比较[J].中国妇幼保健,2012,27(17):2681-2683.
[3]霍大志,贺建民,王斌堂.腹腔镜筋膜内子宫切除术的临床分析[J].中国妇幼保健,2008,23(16):2322-2324.
[4]杨东芳,薛敏.腹腔镜子宫切除术的并发症及其防治[J].临床和实验医学杂志,2009,8(6):113-114.
[5]谭先杰,吴鸣,马水清.改良腹腔镜子宫切除术的临床结局[J].协和医学杂志,2011,2(2):134-138.
[6]赵珺,陈智明.腹腔镜全子宫切除术373例并发症分析[J].齐齐哈尔医学院学报.2013,34(24):3599-3601.
[7]Peng C,Jin H R,Sun X,et al.Analysis of the complications of g ynecological laparoscopic operation within 10 years[J].Zhonghua fu chan ke za zhi,2014,49(3):179-182.