Abstract
In this paper, a data mining-enabled model is developed to analyze the case-related data of 39 patients with urinary tract injury who underwent laparoscopic surgery in a certain hospital from 2012 to 2017. Statistics on the history and characteristics of the case data summarized and analyzed the causes of urinary tract injury and the urinary system. The relationship between the occurrence of injury and the type of surgery and the treatment and preventive measures taken for urinary tract injury during and after surgery are summarized. The statistical method with SPSS16.0 statistical software was used to analyze the data of this study, and the X2 test was used to compare the rates. The differences of P ≤ 0.05 and P ≤ 0.01 were statistically significant. Laparoscopic surgery in gynecology is a minimally invasive technique, but it is still accompanied by the possibility of complications. During the experimental setup and implementation, we have observed that among 8742 cases of laparoscopic surgery complicated by urinary tract injury, there were 39 cases with a rate of 0.45%. In the past five years, the incidence of urinary tract injury in gynecological surgery in our country has increased year by year, and the number of cases of urinary tract injury has also increased year by year. Through analysis, it is found that the cause of the injury is related to the level of surgery, pelvic adhesion, and energy equipment. Based on the above problems, according to the clinical data of patients with urinary tract injury complicated by gynecological surgery in the hospital, the relevant factors of gynecological surgery complicated by urinary tract injury are analyzed to improve the awareness of urinary tract protection and prevention of injury during the operation and preventive measures are actively taken to avoid medical treatment.
Highlights
Gynecological laparoscopic surgery as a new technical means, like traditional surgery, will have complications which will increase with the increase in the difficulty of the operation
Relevant statistics show that the incidence of iatrogenic urinary system injury caused by obstetrics and gynecology surgery is 10% to 70%, of which the probability of ureteral injury is about 0.5% to 30.0% and the probability of bladder injury is about 0.2% to 20.0% [2, 3]. e foreign literature shows that the total incidence of urinary tract injury caused by laparoscopic surgery is about 0.05% to 8.3%, of which ureteral injury accounts for 0.5% to 3% and bladder injury accounts for 0.02% to 8.3% [4], and related domestic reports pointed out that the incidence of the ureter and bladder injuries in gynecological laparoscopic surgery was 0.16% to 0.27% and 0.18% to 0.40%, respectively [5]
Based on the total number of operations performed by the Department of Gynecology in the hospital from 2012 to 2017, a total of 14,335 cases were observed, of which 8,742 cases were treated by laparoscopic surgery
Summary
Gynecological laparoscopic surgery as a new technical means, like traditional surgery, will have complications which will increase with the increase in the difficulty of the operation. Ureteral and bladder injuries are the main complications of urinary tract injury in gynecological laparoscopic surgery. Complications such as subcutaneous emphysema and bleeding, abdominal wall injury, and residual forceps rupture in the abdominal cavity can be seen. Relevant statistics show that the incidence of iatrogenic urinary system injury caused by obstetrics and gynecology surgery is 10% to 70%, of which the probability of ureteral injury is about 0.5% to 30.0% and the probability of bladder injury is about 0.2% to 20.0% [2, 3]. Relevant statistics show that the incidence of iatrogenic urinary system injury caused by obstetrics and gynecology surgery is 10% to 70%, of which the probability of ureteral injury is about 0.5% to 30.0% and the probability of bladder injury is about 0.2% to 20.0% [2, 3]. e foreign literature shows that the total incidence of urinary tract injury caused by laparoscopic surgery is about 0.05% to 8.3%, of which ureteral injury accounts for 0.5% to 3% and bladder injury accounts for 0.02% to 8.3% [4], and related domestic reports pointed out that the incidence of the ureter and bladder injuries in gynecological laparoscopic surgery was 0.16% to 0.27% and 0.18% to 0.40%, respectively [5].
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