摘要
目的探讨腹腔镜多学科联合手术的临床可行性及效果。方法选择因子宫及附件疾病合并胆囊及阑尾病变需同时行腹腔镜手术患者36例为观察组,同期因单一妇科疾病行腹腔镜手术的患者30例为对照组。分析比较两组手术时间、肠功能恢复、平均住院日及手术并发症。结果两组患者手术均获成功,无中转开腹,无手术并发症发生。观察组平均手术时间为:附件手术(82±16)min,子宫手术(142±32)min;对照组平均手术时间为:附件手术(48±24)min,子宫手术(118±21)min,两者比较,差异有显著性(P<0.05)。观察组术后肠功能恢复时间:附件手术(23.0±5.0)h,子宫手术(24.0±3.0)h,对照组为附件手术(22.0±2.5)h,子宫手术(19.0±12.0)h;术后平均住院日分别为:观察组附件手术(3.6±1.5)d,子宫手术(4.4±2.0)d,对照组:附件手术(3.5±1.0)d,子宫手术(4.1±1.5)d,两组比较差异无显著性(P>0.05)。结论妇、外科联合腹腔镜手术安全、有效、可行,具有广阔的应用前景。
[Objective] To study the clinical practicability and efficacy of combined multi-disciplinary laparoscopic surgery. [Methods] Combined laparoscopie eholecysteetomy or appendectomy laparoscopic were performed in 36 genecologieal patients as study group and single gynecological laparoscopic surgery in 30 patients as control group. The meantime of operations bowel function restoration hospitalization lengh and complications were observed. [Results] Each operation was successful. None of the cases was turned to open operation. No complications occurred. The meantime of operations was significandy increased in study group, compared with control group respectively. The recovery time of bowel function as well as the meantime of hospitalization was not different between two groups. [Conclusions] Combined genecological and general surgical laparoseopic surgery can be performed safely and effectively.
出处
《中国内镜杂志》
CSCD
北大核心
2006年第3期263-265,共3页
China Journal of Endoscopy
关键词
女性
腹腔镜
联合手术
female
laparoscope
combined operation
