摘要
目的探讨腹腔镜手术与开腹手术在治疗输卵管妊娠、卵巢良性肿瘤、子宫良性疾病中的效果和价值。方法腹腔镜下行输卵管切除、卵巢良性肿瘤剥除(切除)、辅助下阴式子宫切除手术患者135例为腹腔镜手术组;随机选择同期开腹行输卵管切除、卵巢良性肿瘤剥除(切除)、子宫切除患者135例为开腹手术组,对两组手术时间、术中出血、术后抗炎时间、补液时间、肠道恢复时间、住院时间及术后发热率进行比较。结果腹腔镜手术组与开腹手术组相比较,手术时间稍长,t=2.26,P>0.05,差异无显著性;术中出血少(t=3.97)、术后抗炎时间短(t=3.86)、补液时间短(t=3.72)、肠道恢复快(t=2.98)、住院时间短(t=3.63)、术后发热率低(t=4.18),均P<0.01,有显著性差异。结论腹腔镜手术创伤小,出血少,恢复快,术后并发症少,值得推广应用。
Objective To compare therapeutic effects and values of video-laparoscopic operation and laparotomy for treatment of tubal pregnancy, benign ovarian tumors or benign uterine diseases. Methods 270 women who expected to undergo tubal resection, resection or exploitation of ovarian benign tumor, assissted transvaginal hysterectomy were treated with laparoscopic operation or laparotomy at random （135 cases＇treated with laparoscopic operation and other 135 cases treated with laparotomy operation）. The operation time, intraoperative bleeding amount, postoperative anti-inflammatory therapy time, fluid replacement time, intestinal recovery coincidence time, length of stay and postoperative fever incidence in the two groups were compared. Results The operation time was slightly longer in the laparoscope group than laparotomy group but there was no significant difference between the two groups （t= 2.26, P 〉 0.05 ）. Whereas intraoperative bleeding amount（ t = 3.97 ）, postoperative anti-inflammatory therapy time （ t = 3.86 ）, fluid replacement time （ t = 3.72 ）, postoperative intestinal function recovery coincidence time （ t = 2.98 ）, length of stay （ t = 3.63 ）, and postoperative fever incidence （ t = 4.18 ） in the laparoscoPe group were all significantly better than those in the laparotomy group and the differences were significant （ all P 〈 0.01 ）. Conclusion Laparoscopic operation has some superiorities such as less invasiveness, less bleeding amount, quick postoperative recovery, few postoperative complications. So, it is worthy to be popularized in clinic.
出处
《中国妇幼健康研究》
2008年第3期247-248,共2页
Chinese Journal of Woman and Child Health Research
关键词
妇科
腹腔镜
开腹
手术
department of gynecology
laparoscopy
laparotomy
operation
