中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
4期
546-548
,共3页
腹腔镜%妇科%微创
腹腔鏡%婦科%微創
복강경%부과%미창
Laparoscope%Gynaecology%Minimally invasive
目的 探讨腹腔镜微创手术在妇科疾病中的应用价值.方法 选取因妇科疾病行腹腔镜微创手术患者(腹腔镜组,n=415)与同期行开腹手术患者(开腹组,n=187)的临床资料,分析比较两组的手术时间、术中出血量、术后排气时间、术后疼痛持续时间、术后并发症发生率、住院天数及平均住院费用.结果 腹腔镜组的手术时间、术中出血量、术后疼痛持续时间、术后住院天数、平均住院费用、术后并发症发生率分别为(35.1 ±8.8)min、(56.8 ±4.3)ml、(25.0 ±6.0)h、(4.0±3.0)d、(3 894.7±1 028.5)元、1.9％,均少于开腹组的(50.2±12.3)min、(83.5±23.7) ml、(58.0±30.0)h、(14.0±8.0)d、(6 628.1±1 834.9)元、8.2％(t=2.366、2.154、6.903、10.501、7.674、3.095,均P＜0.05),术后排气时间两组差异无统计学意义(t=0.843,P＞0.05).结论 腹腔镜手术具有创伤小、手术时间短、出血少、疼痛小、并发症少、恢复快及费用低等一系列优点,值得临床推广.
目的 探討腹腔鏡微創手術在婦科疾病中的應用價值.方法 選取因婦科疾病行腹腔鏡微創手術患者(腹腔鏡組,n=415)與同期行開腹手術患者(開腹組,n=187)的臨床資料,分析比較兩組的手術時間、術中齣血量、術後排氣時間、術後疼痛持續時間、術後併髮癥髮生率、住院天數及平均住院費用.結果 腹腔鏡組的手術時間、術中齣血量、術後疼痛持續時間、術後住院天數、平均住院費用、術後併髮癥髮生率分彆為(35.1 ±8.8)min、(56.8 ±4.3)ml、(25.0 ±6.0)h、(4.0±3.0)d、(3 894.7±1 028.5)元、1.9％,均少于開腹組的(50.2±12.3)min、(83.5±23.7) ml、(58.0±30.0)h、(14.0±8.0)d、(6 628.1±1 834.9)元、8.2％(t=2.366、2.154、6.903、10.501、7.674、3.095,均P＜0.05),術後排氣時間兩組差異無統計學意義(t=0.843,P＞0.05).結論 腹腔鏡手術具有創傷小、手術時間短、齣血少、疼痛小、併髮癥少、恢複快及費用低等一繫列優點,值得臨床推廣.
목적 탐토복강경미창수술재부과질병중적응용개치.방법 선취인부과질병행복강경미창수술환자(복강경조,n=415)여동기행개복수술환자(개복조,n=187)적림상자료,분석비교량조적수술시간、술중출혈량、술후배기시간、술후동통지속시간、술후병발증발생솔、주원천수급평균주원비용.결과 복강경조적수술시간、술중출혈량、술후동통지속시간、술후주원천수、평균주원비용、술후병발증발생솔분별위(35.1 ±8.8)min、(56.8 ±4.3)ml、(25.0 ±6.0)h、(4.0±3.0)d、(3 894.7±1 028.5)원、1.9％,균소우개복조적(50.2±12.3)min、(83.5±23.7) ml、(58.0±30.0)h、(14.0±8.0)d、(6 628.1±1 834.9)원、8.2％(t=2.366、2.154、6.903、10.501、7.674、3.095,균P＜0.05),술후배기시간량조차이무통계학의의(t=0.843,P＞0.05).결론 복강경수술구유창상소、수술시간단、출혈소、동통소、병발증소、회복쾌급비용저등일계렬우점,치득림상추엄.
Objective To investigate the clinical application value of laparoscopic minimally invasive surgery in the treatment of gynecologic disease.Methods The clinical data of 415 patients with laparoscopic surgery(laparoscopic group) and 187 patients with laparotomy at the same period (laparotomy group) because of gynecologic disease were analyzed,and the operative time,blood loss,postoperative passage of flatus,postoperative pain,postoperative complication rate,hospital days and average cost of hospitalization were compared.Results The operative time,blood loss,postoperative passage of flatus,postoperative pain,hospital days and average cost of hospitalization and postoperative complication rate of laparoscopic group was (35.1 ± 8.8) min,(56.8 ± 4.3) ml,(25.0 ± 6.0) h,(4.0 ± 3.0) d,(3 894.7 ± 1 028.5) yuan,1.9％,respectively,and shorter than those of laparotomy group [(50.2 ± 12.3) min,(83.5 ±23.7)ml,(58.0±30.0)h,(14.0±8.0)d,(6 628.1 ±1 834.9)yuan,8.2％] (t =2.366,2.154,6.903,10.501,7.674,3.095,all P ＜ 0.05);The postoperative passage of flatus had no significant difference between the two groups (t =0.843,P ＞ 0.05).Conclusion Laparoscopic minimally invasive surgery can be safely and effectively utilized in gynecologic diseases for its little injury,shorter operative time,less bleeding,less pain,less complications and quicker recovery and so on,and it should be worth of clinical promotion.
