医学临床研究
醫學臨床研究
의학림상연구
Journal of Clinical Research
2015年
8期
1503-1504
,共2页
腹腔镜检查%生殖器疾病,女(雌)性/外科学%手术期间
腹腔鏡檢查%生殖器疾病,女(雌)性/外科學%手術期間
복강경검사%생식기질병,녀(자)성/외과학%수술기간
Laparoscopy%Genital Diseases,Female/SU%Intraoperative Period
【目的】比较腹腔镜手术与开腹手术治疗不同妇科疾病的围手术期情况。【方法】收集因子宫肌瘤、输卵管妊娠、卵巢非恶性肿瘤接受手术治疗的患者234例。根据患者的个体差异选择开腹法113例和腹腔镜法121例，比较两种手术的围手术期情况，分析不同因素对于腹腔镜手术的影响。【结果】子宫肌瘤和输卵管妊娠患者中，腹腔镜组手术时间明显大于开腹组，术中出血量、肠道排气时间、术后住院天数均显著低于开腹组，差异均有统计学意义(P <0.05)。而在卵巢非恶性肿瘤患者中，腹腔镜组手术时间、术中出血量、肠道排气时间、术后住院天数均低于开腹组，差异均有统计学意义(P <0.05)。【结论】妇科腹腔镜手术在子宫肌瘤、输卵管妊娠、卵巢非恶性肿瘤的治疗有优越性，临床值得推广。
【目的】比較腹腔鏡手術與開腹手術治療不同婦科疾病的圍手術期情況。【方法】收集因子宮肌瘤、輸卵管妊娠、卵巢非噁性腫瘤接受手術治療的患者234例。根據患者的箇體差異選擇開腹法113例和腹腔鏡法121例，比較兩種手術的圍手術期情況，分析不同因素對于腹腔鏡手術的影響。【結果】子宮肌瘤和輸卵管妊娠患者中，腹腔鏡組手術時間明顯大于開腹組，術中齣血量、腸道排氣時間、術後住院天數均顯著低于開腹組，差異均有統計學意義(P <0.05)。而在卵巢非噁性腫瘤患者中，腹腔鏡組手術時間、術中齣血量、腸道排氣時間、術後住院天數均低于開腹組，差異均有統計學意義(P <0.05)。【結論】婦科腹腔鏡手術在子宮肌瘤、輸卵管妊娠、卵巢非噁性腫瘤的治療有優越性，臨床值得推廣。
【목적】비교복강경수술여개복수술치료불동부과질병적위수술기정황。【방법】수집인자궁기류、수란관임신、란소비악성종류접수수술치료적환자234례。근거환자적개체차이선택개복법113례화복강경법121례，비교량충수술적위수술기정황，분석불동인소대우복강경수술적영향。【결과】자궁기류화수란관임신환자중，복강경조수술시간명현대우개복조，술중출혈량、장도배기시간、술후주원천수균현저저우개복조，차이균유통계학의의(P <0.05)。이재란소비악성종류환자중，복강경조수술시간、술중출혈량、장도배기시간、술후주원천수균저우개복조，차이균유통계학의의(P <0.05)。【결론】부과복강경수술재자궁기류、수란관임신、란소비악성종류적치료유우월성，림상치득추엄。
[Objective]To explore the significance of laparoscopic surgery for the treatment of various gyneco-logical diseases.[Methods]A total of 234 women underwent surgery for uterine fibroids,ectopic pregnancy or o-varian non-malignancy.Based upon surgical approaches,they were divided into open (n =1 13)and laparoscopic (n =121)groups.Perioperative profiles and surgical outcomes were compared.[Results]For uterine fibroids, laparoscopic operative duration was significantly greater in open group than that in laparotomy group.And the differences were statistically significant (P<0.05);blood loss,intestinal exhaust time,postoperative hospital stay were lower than that in laparotomy group.The differences were statistically significant (P < 0.05 ).For tubal pregnancy,laparoscopic operative duration was significantly greater in open group than that in laparotomy group. The differences were statistically significant (P <0.05);blood loss,intestinal exhaust time,postoperative hospi-tal stay and postoperative maximum temperature were lower in laparotomy group.And the differences were statis-tically significant (P <0.05).For ovarian cancer,non-laparoscopic operative duration,blood loss,intestinal ex-haust time,postoperative hospital stay was lower than those in laparotomy group.And the differences were statis-tically significant (P <0.05).[Conclusion]Laparoscopic surgery offers multiple advantages for uterine fibroids, ectopic pregnancy and ovarian cancer.
