基于妇科腹腔镜手术并发症的影响因素研究

发布时间：2018-11-13 14:08

【摘要】：目的针对妇科腹腔手术中出现的并发症、影响要素进行分析。方法选取2014年12月~2015年12月我院收治的妇科腹腔手术患者2016例作为研究对象,从患者年龄、子宫内膜移位、体重指数、腹腔手术史等要素对并发症所起的症状进行讨论。结果有并发症72例(3.33%),其中7例(0.32%)气腹穿刺。术中并发症50例(2.31%),其中失血过多36例(72%)。术后并发症15例(0.69%),其中有10例(66.67%)是术后感染,手术类别与并发率分别对应为Ⅰ(1.01%)、Ⅱ(5.92%)、Ⅲ(7.57%)、Ⅳ(24.51%)。并发症同手术类别(OR=3.70)、子宫大小(OR=3.45)、年龄(OR=2.64)、子宫内膜异位症病史(OR=11.64)等有直接联系。结论通过Logistic研究发现,并发症的出现同手术类别与子宫内膜异位史有很大关联。手术级别高,手术并发症出现几率更大;子宫内膜异位史也促使手术并发症的出现频率得以增加。
[Abstract]:Objective to analyze the complications and influencing factors of gynecological abdominal surgery. Methods 2016 patients with gynecological abdominal surgery from December 2014 to December 2015 were selected as study subjects. The symptoms of complications were discussed from age, endometrial displacement, body mass index and history of abdominal surgery. Results 72 cases (3.33%) had complications, of which 7 cases (0.32%) had pneumoperitoneum puncture. Intraoperative complications were found in 50 cases (2.31%), of which 36 cases (72%) had excessive blood loss. Postoperative complications were found in 15 cases (0.69%), of which 10 cases (66.67%) were postoperative infection. The type of operation and the incidence of complications were 鈪，

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