摘要
目的观察分析腹腔镜下手术治疗输卵管-卵巢脓肿的临床效果。方法方便抽取在该院治疗的经病理证实的输卵管-卵巢脓肿患者88例作为研究对象,抽取时间均为2012年11月—2016年11月期间。经过患者同意后,通过治疗方式分成2组,每组患者均占44例。其中一组输卵管-卵巢脓肿患者使用传统开腹手术治疗(开腹组),另一组输卵管-卵巢脓肿患者采用腹腔镜手术进行治疗(腹腔镜组)。将以上2组患者的手术时间、术中失血量、术后排气时间、导管留置时间、下床活动时间、体温恢复时间以及住院时间进行对比,并观察两组患者治疗后并发症发生的情况。结果腹腔镜组手术时间为(98.67±35.64)min,开腹组手术时间为(102.64±66.56)min,两组对比差异无统计学意义(P>0.05),腹腔镜组患者的术中失血量为(36.89±5.67)m L、术后排气时间为(13.36±2.54)h、导管留置时间为(11.23±1.52)h、下床活动时间为(10.34±2.51)h、体温恢复时间为(32.68±18.47)h,均优于开腹组(P<0.05);且腹腔镜组患者的住院时间为(4.36±1.52)d,短于开腹组(P<0.05)。两组患者的并发症对比发现,腹腔镜组(4.55%)低于开腹组(P<0.05)。结论腹腔镜手术治疗输卵管-卵巢脓肿患者的效果更为可观,值得广泛推广。
Objective To observe and analyze the clinical effect of laparoscopic surgery in treatment of tubo-ovarian abscess. Methods 88 cases of patients with tubo-ovarian abscess proved by the pathology in our hospital from November 2012 to November 2016 were conveniently selected and divided into two groups with 44 cases in each with the consent of the patients, and the laparotomy group were treated with the traditional laparotomy surgery, while the laparoscopic group were treated with the laparoscopic surgery, and the operation time, intraoperative bleeding amount, postoperative exhaust time,catheter indwelling time, time to get out of bed, body temperature recovery time and length of stay were compared and the occurrence of complications after treatment was observed. Results The operation time in the laparoscopic group and in the laparotomy group was respectively（98.67±35.64）min and（102.64±66.56）min, and the difference between groups was not statistically significant（P〉0.05）, and the intraoperative bleeding amount, postoperative exhaust time, catheter indwelling time, time to get out of bed, body temperature recovery time in the laparoscopic group were respectively（36.89±5.67）mL,（13.36±2.54）h,（11.23±1.52）h,（10.34±2.51）h,（32.68±18.47）h, which were better than those in the laparotomy group（P〈0.05）, and the length of stay in the laparoscopic group was（4.36±1.52）d, which was shorter than that in the laparotomy group（P〈0.05）.The aompcications of the two groups found that the laparoscqzic group（4.55%） was lower than the lapartong group（P〈0.05）. Conclusion The effect of laparoscopic surgery in treatment of patients with tubo-ovarian abscess is obvious,which is worth wide promotion.
出处
《中外医疗》
2017年第17期49-51,共3页
China & Foreign Medical Treatment
