[1]范雪梅,张秋实,叶明.妇科腹腔镜手术中转开腹45例临床分析[J].中国微创外科杂志,2009,09(7):620-622.
　Fan Xuemei,Zhang Qiushi,Ye Ming..Causes of Conversions to Open Surgery in Patients Receiving Gynecological Laparoscopic Operations: Report of 45 Cases[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):620-622.
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妇科腹腔镜手术中转开腹45例临床分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
620-622
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Causes of Conversions to Open Surgery in Patients Receiving Gynecological Laparoscopic Operations: Report of 45 Cases
作者:
范雪梅; 张秋实; 叶明
广州市妇婴医院妇产科，广州510180
Author(s):
Fan Xuemei;  Zhang Qiushi;  Ye Ming.
Department of Gynecology and Obstetrics, Guangzhou Maternal and Neonatal Hospital, Guangzhou 510180, China
关键词:
腹腔镜手术; 中转开腹手术; 妇科手术
Keywords:
Laparoscopic surgery;  Conversion to open surgery;  Gynecological operations
分类号:
R713
文献标志码:
A
摘要:
目的探讨妇科腹腔镜手术中转开腹的原因。 方法对我院2002年1月~2007年12月2630例腹腔镜手术中45例中转开腹的临床资料进行回顾性分析。结果中转开腹原因：特殊部位的子宫肌瘤25例（55.6%），严重盆腹腔粘连10例(22.2%)，宫角妊娠3例（6.7%），卵巢肿瘤3例（6.7%）,手术损伤3例（6.7%）,子宫腺肌瘤要求保留子宫1例(22%)。结论特殊部位的子宫肌瘤手术、盆腹腔粘连是妇科腹腔镜手术中转开腹的常见原因。术前加强评估可以减少手术中转开腹率，及时中转开腹可以减少并发症的发生。
Abstract:
ObjectiveTo study the causes of conversion to open surgery in patients receiving gynecological laparoscopic operations.MethodsFrom January 2002 to December 2007, totally 2630 patients received gynecological laparoscopy in our hospital; 45 of them were converted to open surgery. The data of the 45 cases were analyzed.ResultsThe causes of conversion to open surgery included uterus myoma located at specific locations (25 cases, 55.6%), severe pelvicabdominal adhesion (10 cases, 22.2%), uterine horn pregnancy (3 cases, 6.7%), ovarian tumors (3 cases, 6.7%), surgical injury (3 cases, 6.7%) , and adenomyoma with requirement for uterus conservation (1 case, 2.2%).ConclusionsPeculiar locations of uterine myoma and severe pelvicabdominal adhesion are the main causes of conversion to open surgery during gynecological laparoscopy. Detailed preoperative evaluation can decrease the rate of the conversion rate. Right timing of the conversion may reduce complication rate.

参考文献/References:

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更新日期/Last Update: 2013-09-17