摘要
目的探讨妇科急腹症时腹腔镜手术的应用效果。方法选取2012年8月—2014年4月该院收治的90例妇科急腹症患者,随机分为两组,每组45例。对照组实施传统开腹手术,实验组则行腹腔镜微创手术治疗,统计两组术中出血量、手术时间、术后恢复及并发症情况。结果实验组术中出血量为(79.4±14.23)m L,明显少于对照组的(106.8±19.6)m L,住院时间(5.3±0.8)d,明显短于对照组的(8.8±1.9)d,肛门排气时间(16.0±4.0)h,明显早于对照组的(25.8±4.9)h(P<0.05),但手术时间(55.8±10.9)h,长于对照组的(44.6±9.8)h(P<0.05);实验组患者切口一期愈合率为91.1%,高于对照组的57.8%,且镇痛药物使用率为31.1%,低于对照组的62.2%(P<0.05);两组患者均未出现手术相关并发症。结论腹腔镜手术治疗妇科急腹症,术创轻微,出血量较少,有利于促进切口愈合及肠道功能恢复,住院时间短,值得推广应用。
Objective To observe the application effect of laparoscopic surgery on gynecological acute abdomen. Methods 90 cas- es with gyneeologieal acute abdomen admitted in our hospital from August 2012 to April 2014 were selected and randomly divided into two groups with 45 cases in each. The control group received the traditional open surgery, and the experimental group re- ceived minimally invasive laparoseopic surgery. The intraoperative blood loss, duration of operation, postoperative recovery and complications of the two groups were counted. Results The intraoperative blood loss of the experimental group was （79.4±14.23）ml, significandy less than the control group＇s （106.8±19.6）ml, the hospitalization time was （5.3±0.8）d, obviously shorter than （8.8±1.9） d of the control group, the flatus time was （16.0±4.0）h, much earlier than （25.8±4.9）h of the control group（P〈0.05）, while the dura- tion of operation was （55.8±10.9）h, longer than （44.6±9.8）h of the control group（P〈0.05）; the primary wound healing rate of the ex- perimental group was 91.1%, higher than 57.8% of the control group, but the rate of using analgesic drugs was 31.1%, lower than 62.2% of the control group（P〈O.05）; no complications related to the surgery occurred in both groups. Conclusion For gynecological acute abdomen, laparoscopic surgery has minimal invasion, less bleeding, which is conducive to promoting the wound healing and recovery of intestinal function with shorter hospitalization time, so it is worthy of application and promotion.
出处
《中外医疗》
2014年第30期40-41,共2页
China & Foreign Medical Treatment
关键词
急腹症
妇科手术
腹腔镜
传统开腹手术
Acute abdomen
Gynecological surgery
Laparoscope
Traditional open surgery
