腹部小切口附件手术248例分析

Clinical Analysis of 248 Cases of Accessory Operation with Small Abdoment Cut

目的 探讨妇科微创开腹手术及皮肤美容缝合在附件手术中的优点及临床应用。方法 对本院因附件良性病变需手术治疗的 2 4 8例患者采用输血器配合负压吸引器行微创开腹手术 ,与同期 1 2 4例患者采用传统手术方法进行比较。结果 切口感染率无显著差异 (P >0 .0 5 ) ,肠胃功能恢复时间、住院时间、术后腹壁瘢痕形成有极显著差异 (P <0 .0 1 )。结论 输血器配合负压吸引器行微创开腹手术适合附件良性病变。它具有切口小、创伤小、出血少、手术时间短、术后病率低等优点。皮肤皮内缝合疤痕小而美观 ,符合现代微创的美学原则 ,是一种安全、经济。

Objective To study the advantages and clinic application of gynaecology minimally invasion and skin hairdressing stich in the accessories operation .Methods Make comparision between the 248 cases in which received the minimal invasion operation by using transfusion apparatus and negative pressure attracting implement has been received and the 124 cases in which used the traditional operation method is used. Results No significant difference in the cut infection rate(P>0.05), significant difference in operation time and total bleeding volum(P<0.05), very significant difference in the time of stomach recovery, the time in hospital and the postoperative scar formation(P<0.01). Conclusions The gynaecology minimally invasive caesarean by using transfusion apparatus and negative pressure attracting implement adapts to benign diseases of accessories. It has features of small cut, less wound, less bleeding, short operation time and low rate of diseases after operation. The sewing scar in skin is small and beautiful, it's a safe, economical and easy operation method, which is in accordance with the aesthetic theory of modern minimally invasion.