中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
30期
40-41
,共2页
急腹症%妇科手术%腹腔镜%传统开腹手术
急腹癥%婦科手術%腹腔鏡%傳統開腹手術
급복증%부과수술%복강경%전통개복수술
Acute abdomen%Gynecological surgery%Laparoscope%Traditional open surgery
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）mL,明显少于对照组的(106.8±19.6）mL,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。
目的：探討婦科急腹癥時腹腔鏡手術的應用效果。方法選取2012年8月-2014年4月該院收治的90例婦科急腹癥患者,隨機分為兩組,每組45例。對照組實施傳統開腹手術,實驗組則行腹腔鏡微創手術治療,統計兩組術中齣血量、手術時間、術後恢複及併髮癥情況。結果實驗組術中齣血量為(79.4±14.23）mL,明顯少于對照組的(106.8±19.6）mL,住院時間(5.3±0.8)d,明顯短于對照組的(8.8±1.9）d,肛門排氣時間(16.0±4.0)h,明顯早于對照組的(25.8±4.9）h(P<0.05）,但手術時間(55.8±10.9)h,長于對照組的(44.6±9.8）h(P<0.05）﹔實驗組患者切口一期愈閤率為91.1%,高于對照組的57.8%,且鎮痛藥物使用率為31.1%,低于對照組的62.2%(P<0.05）﹔兩組患者均未齣現手術相關併髮癥。結論腹腔鏡手術治療婦科急腹癥,術創輕微,齣血量較少,有利于促進切口愈閤及腸道功能恢複,住院時間短,值得推廣應用。
목적：탐토부과급복증시복강경수술적응용효과。방법선취2012년8월-2014년4월해원수치적90례부과급복증환자,수궤분위량조,매조45례。대조조실시전통개복수술,실험조칙행복강경미창수술치료,통계량조술중출혈량、수술시간、술후회복급병발증정황。결과실험조술중출혈량위(79.4±14.23）mL,명현소우대조조적(106.8±19.6）mL,주원시간(5.3±0.8)d,명현단우대조조적(8.8±1.9）d,항문배기시간(16.0±4.0)h,명현조우대조조적(25.8±4.9）h(P<0.05）,단수술시간(55.8±10.9)h,장우대조조적(44.6±9.8）h(P<0.05）﹔실험조환자절구일기유합솔위91.1%,고우대조조적57.8%,차진통약물사용솔위31.1%,저우대조조적62.2%(P<0.05）﹔량조환자균미출현수술상관병발증。결론복강경수술치료부과급복증,술창경미,출혈량교소,유리우촉진절구유합급장도공능회복,주원시간단,치득추엄응용。
Objective To observe the application effect of laparoscopic surgery on gynecological acute abdomen. Methods 90 cas-es with gynecological 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 laparoscopic 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, significantly 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<0.05); 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.
