摘要
目的比较腹腔镜手术和开腹手术治疗妇科急腹症的临床效果,评价腹腔镜手术和治疗妇科急腹症的价值。方法2005年1月至2009年6月在华蓥市人民医院住院的妇科急腹症患者160例,随机分为观察组与对照组各80例,观察组根据病变情况及生育要求采用不同的腹腔镜手术方式,对照组按常规进行开腹手术。结果两组均顺利完成手术,观察组手术时间(66.4±12.3)min长于对照组的(57.3±10.2)min,术中出血量(37.5±8.2)mL少于对照组的(73.7±11.5)mL;观察组肛门排气时间(20.3±5.1)h、镇痛剂使用32例、住院时间(4.6±1.7)d低于对照组的(29.5±6.3)h、49例、(8.9±2.1)mL(P<0.05)。结论腹腔镜手术手术时间明显增加,但术中出血量减少,同时术后镇痛剂需求、肠道功能恢复及住院时间等明显优于开腹手术,为妇科急腹症治疗理想方法。
Objective To Compare the clinical effects of laparoscopic surgery and open surgery in the treatment of gynecologic acute abdomen, evaluation and treatment of gynecologic laparoscopic surgical acute abdomen in value. Method 2005 January to June 2009 in Huaying people＇s hospital 160 eases of gynecologic acute abdomen in patients were randomly divided into two groups and control group 80 cases, the observation group under the lesions and fertility require different laparoscopic surgery way, the control group carried out according to conventional open surgery. Results Both groups were successful completion of surgery, operative time observation group （66.4±12.3） min longer than the control group （57.3± 10.2）min, blood 1oss（37.5＋8.2） mL than in the control group（73.7±1 1.5） mL; anal exhaust time of the observation group（20.3±5.1）h, analgesic use of 32 cases, length of stay （4.6±1.7） days lower than the control group （29.5±6.3）h, 49cases, （8.9±2.1）mL （P〈0.05）. Conclusions Laparoseopic operative time was significantly increased, but reduced blood loss, and postoperative analgesic requirements, bowel function recovery, and hospitalization time is superior to laparotomy, an ideal method for the treatment of gynecologic acute abdomen.
出处
《中国医药指南》
2010年第8期40-42,共3页
Guide of China Medicine
关键词
妇科
急腹症
腹腔镜手术
开腹手术
Gynecology
Acute abdomen
Laparoscopi surgery
Open surgery
