【摘要】 目的：探讨妇科腹腔镜手术中转开腹的原因。方法：回顾分析1995 年1月～2005年12月我院2 441例妇科腹腔镜手术的临床资料，其中中转开腹40例。结果：中转开腹的原因为：盆腔粘连19(47.5%)例，子宫肌瘤部位特殊8(20%)例，并发症5(12.5%)例，恶性肿瘤4(10%)，术中出血3(7.5%)，手术复杂无法完成1(2.5%)例。结论：提高手术操作技巧、加强术前对患者病情的评估，使诊断更加明确可以减少腹腔镜手术中转开腹率。适时的中转开腹可以减少手术并发症。

    【关键词】 妇科手术；腹腔镜；中转开腹

    The analysis of conversion to laparotomy in gnecological laparoscopic operations

    LI Qin,HUI Ning,OU Jun.

    The Changhai Hospital of Shanghai City,Shanghai 200433,China

    【Abstract】 Objective:To study the clinical factors in conversion from gynecological laparoscopy to laparotomy.Methods:Laparoscopic surgery that was performed in 2 441 gynecologic patients within the recent 10 years was reviewed restrospectively.Among them,40 patients were converted to laparotomy(1.64%).Results:Causes converted to laparotomy were 19(47.5%) pelvic adhension,8(20.0%) peculiar location of uterus myoma,6(12.5%) complications,4(10.0%) malignant tumors,3(7.5%) bleeding,and 1(2.5%) complex surgery.Conclusions:Improving the operation technique,careful evaluation before surgery and diagnosis more clearly are important to reduce the rate of conversion to laparotomy.To convert from laparoscopy to laparotomy at the right moment may help to reduce unnecessany complications. ......