摘要
目的研究腹腔镜治疗妇科急腹症的适应证。方法回顾分析2006年5月至2009年10月武警上海市总队医院妇科241例急腹症手术,其中腹腔镜手术124例,开腹手术117例,两组疾病的构成比相似,比较两组术中、术后情况。结果除异位妊娠开窗术外,腹腔镜手术组出血量、手术时间均少于开腹组,所有腹腔镜手术组肠道功能恢复时间、住院天数均少于开腹组。结论①腹腔镜手术适应证与开腹组相同,且较开腹手术更具优势;②输卵管保留手术,最好选择开腹。
Objective To study the indications of the laparoscopy on the treatment for gynecologic acute abdomen. Methods Totally 241 cases with gynecologic cute abdomen operation were retrospectively analyzed from May 2006 to October 2009. Laparoscopic operations were performed in 123 cases and laparotomies were performed in 118 cases. The constitution ratio of two groups was similar and the conditions of operations were compared between two groups.Results Except for fenestration operation of ectopic pregnancy,the bleeding volume,the operation time in the laparoscopic group were significantly less than those in the laparotomy group. The recovery time of gastrointestinal function and the days of hospitalization after operation in all laparoscopic group were less than those in laparotomy group. Conclusion ①The laparoscopy was superior to the laparotomy and the indications of two operations were same for gynecologic acute abdomen operation; ②It was better to choose the laparotomy in the conservation operation of fallopian tube.
出处
《中国计划生育和妇产科》
2010年第3期27-29,共3页
Chinese Journal of Family Planning & Gynecotokology
关键词
妇科急腹症
腹腔镜手术
gynecologic acute abdomen
Laparoscopy
