38例肥胖患者妇科腹腔镜手术总结

Fat patients treated with laparoscopy 38 cases conclusion

目的探讨38例肥胖患者行妇科腹腔镜手术的临床应用效果。方法对2002年2月￣2004年4月在我院就诊有手术指征和手术意愿的肥胖妇科患者69例,进行回顾性分析,其中行腹腔镜手术的38例,行开腹手术的31例。结果腹腔镜组术中出血量少、术后体温恢复快、导尿时间短、进食早、排气快、下床活动早、WBC改变小、住院时间短,与开腹组差异有显著性(P<0.001),腹腔镜组切口愈合良好,开腹组出现3例切口感染。结论腹腔镜手术在肥胖妇科病人中的应用与开腹手术比较,充分体现了其创伤小,痛苦小,术后恢复快的优点。

To investigate the clinical effect of fat patients operated by gynecological laparoscopy. Retrospetive analysis 69 fat cases with surgery indication and operation consent treated from Febrary 2002 to April 2004 including laparoscopy 38 cases and laparotomy 31 cases. According to laparoscopy group, volume of blood loss was less, time of temperature resume was shorter, time using urethral catheterization shorter, taken food, time of anal exhaust and got of beds earlier, hospitalization was shorter and WBC ranged smoothly. They were all significant difference from laparotomy group, P<0.001. Incisions of laparoscopy group were well healed but incisions of 3 cases in laparotomy group were infected.[Conclusion] It is indicated that laparoscopy is better in wound size,painless and resume aspects comparing with laparotomy group.