腹腔镜_____腹腔镜；妇科；体位；并发症

妇科腹腔镜手术与体位有关的并发症及其防治

http://www.100md.com 《腹腔镜外科杂志》 2005年第5期

腹腔镜,,腹腔镜；妇科；体位；并发症,1资料与方法,2结果,3讨论,参考文献

     【摘要】目的：探讨妇科腹腔镜手术与体位有关的并发症及其防治。方法：回顾性分析我院2003年3月至2005年5月122例妇科腹腔镜手术术中体位安置的体会。结果：均顺利完成手术，仅于腹腔镜手术开展初期出现术后肩部疼痛4例，神经损伤2例，体位性低血压2例。采取预防措施后90例手术未发生由于体位护理不当导致的术中、术后并发症及死亡病例。结论：术中合理安置患者体位，可有效减少与体位有关的并发症的发生。

    【关键词】腹腔镜；妇科；体位；并发症

    Complications and their prophylaxis treatment of laparoscopic gynecologic surgery about body position

    SONG Lei,GENG Wenzhen2,XU Xiujie1,et al.

    Affiliated Hospital of Binzhou Medical College,Binzhou 256603,China;Binzhou People’s Hospital

    【Abstract】Objective:To study the complications and their prophylaxis and treatment of laparoscopic gynecologic surgery about body position.Methods:Respectively the positions of resettlement of 122 gynecological laparoscopic operations in our hospital from March 2003 to May 2005 were analyzed retrospectively.Results:All operations were done successfully.Only 4 patients who had pain of their shoulders after operations,2 patients who had neuroinjure and 2 patients who had postural hypotension in the initial stage of carrying out gynecological laparoscopic operation.After taking some preventive measures,succedent 90 patients have no complications during operation and postoperation.Conclusions:Reasonable resettlement of patient′s position can obviously reduce some complications owe to position of their operations. ......

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