中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
2期
42-44
,共3页
腹腔镜%妇科急腹症%诊断%治疗
腹腔鏡%婦科急腹癥%診斷%治療
복강경%부과급복증%진단%치료
laparoscopy%gynecological acute abdomen%diagnosis%treatment
目的:探讨腹腔镜对妇科急腹症的诊疗价值。方法回顾性分析广西壮族自治区民族医院妇产科2011年3月至2013年3月收治的152例妇科急腹症患者的临床资料,76例经腹腔镜手术治疗患者为观察组,76例经普通开腹手术治疗患者为对照组,比较两组患者手术成功率、手术指标、术后并发症及术后疼痛视觉模拟评分法( visual analog scale , VAS)评分和术后疼痛恢复时间。结果两组患者手术成功率均为100%,观察组患者术中出血量(37.6±9.7)mL、手术时间(53.8±6.2)min、肛门排气时间(22.3±3.5)h、住院天数(7.5±2.6) d、术后4 h VAS疼痛评分(2.2±2.3)分、术后24 h VAS疼痛评分(4.8±4.5)分、术后疼痛恢复时间(5.7±2.3) h,均少于对照组[分别为(81.7±8.4) mL、(74.9±8.1) min、(32.2±5.7) h、(12.9± 3.7)d、(6.9±4.9)分、(7.3±5.7)分、(12.6±4.9) h](均P<0.05)。结论腹腔镜治疗妇科急腹症安全有效,在其诊疗中具有较高的应用价值。
目的:探討腹腔鏡對婦科急腹癥的診療價值。方法迴顧性分析廣西壯族自治區民族醫院婦產科2011年3月至2013年3月收治的152例婦科急腹癥患者的臨床資料,76例經腹腔鏡手術治療患者為觀察組,76例經普通開腹手術治療患者為對照組,比較兩組患者手術成功率、手術指標、術後併髮癥及術後疼痛視覺模擬評分法( visual analog scale , VAS)評分和術後疼痛恢複時間。結果兩組患者手術成功率均為100%,觀察組患者術中齣血量(37.6±9.7)mL、手術時間(53.8±6.2)min、肛門排氣時間(22.3±3.5)h、住院天數(7.5±2.6) d、術後4 h VAS疼痛評分(2.2±2.3)分、術後24 h VAS疼痛評分(4.8±4.5)分、術後疼痛恢複時間(5.7±2.3) h,均少于對照組[分彆為(81.7±8.4) mL、(74.9±8.1) min、(32.2±5.7) h、(12.9± 3.7)d、(6.9±4.9)分、(7.3±5.7)分、(12.6±4.9) h](均P<0.05)。結論腹腔鏡治療婦科急腹癥安全有效,在其診療中具有較高的應用價值。
목적:탐토복강경대부과급복증적진료개치。방법회고성분석엄서장족자치구민족의원부산과2011년3월지2013년3월수치적152례부과급복증환자적림상자료,76례경복강경수술치료환자위관찰조,76례경보통개복수술치료환자위대조조,비교량조환자수술성공솔、수술지표、술후병발증급술후동통시각모의평분법( visual analog scale , VAS)평분화술후동통회복시간。결과량조환자수술성공솔균위100%,관찰조환자술중출혈량(37.6±9.7)mL、수술시간(53.8±6.2)min、항문배기시간(22.3±3.5)h、주원천수(7.5±2.6) d、술후4 h VAS동통평분(2.2±2.3)분、술후24 h VAS동통평분(4.8±4.5)분、술후동통회복시간(5.7±2.3) h,균소우대조조[분별위(81.7±8.4) mL、(74.9±8.1) min、(32.2±5.7) h、(12.9± 3.7)d、(6.9±4.9)분、(7.3±5.7)분、(12.6±4.9) h](균P<0.05)。결론복강경치료부과급복증안전유효,재기진료중구유교고적응용개치。
Objective To investigate the clinical value of laparoscopy in the diagnosis and treatment of gynecological acute abdomen.Methods Data of 152 cases with acute abdomen in Guangxi Zhuang Autonomous Region National Hospital during March 2011 to March 2013 were retrospectively analyzed .76 cases with laparoscopic surgery were selected into observe group , 76 cases under laparotomy operation were selected into control group .The success rate of surgery patients , surgical index , and surgical complications and postoperative pain VAS pain scores recorded recovery time , simultaneously with traditional open surgery were analyzed .Results Surgical success rate of two groups were 100%, the amount of bleeding (37.6 ±9.7) mL, operative time (53.8 ±6.2) min, anus exhaust time ( 22.3 ±3.5 ) h, hospitalization time ( 7.5 ±2.6 ) d, 4 hours postoperative VAS pain score 2.2 ±2.3, 24 hours postoperative VAS pain score 4.8 ±4.5, postoperative pain recovery time (5.7 ±2.3) h of study group were less than that of control group [(81.7 ±8.4)mL、(74.9 ±8.1)min、(32.2 ±5.7)h、(12.9 ±3.7)d、(6.9 ±4.9) score、(7.3 ±5.7) score、(12.6 ±4.9) h ] ( all P<0.05 ) .Conclusion Laparoscopy is safe and effective in treatment of gynecological acute abdomen with a high clinical application value .