妇科联合普外科腹腔镜手术15例临床分析

Gynecology Department Combined with Surgical Department in Peritoneoscope Operation:Clinical Analysis of 15 Cases

目的:探讨妇科外科联合进行腹腔镜手术的临床特点。方法:选择因妇科疾病合并普外科疾病而需行联合腹腔镜手术的患者15例为观察组,选取同期因单一妇科疾病行腹腔镜手术的患者例15例为对照组,对两组患者的平均手术时间、肠功能恢复时间、术后平均住院日和术后并发症发生情况等指标进行分析比较。结果:两组患者手术均获得成功,无1例中转开腹,也无1例严重并发症发生。观察组的平均手术时间为(130+92)min,对照组平均手术时间为(110±82)min,两组比较,差异有统计学意义(P<0.05);观察组的术后肠功能恢复时间及术后平均住院日分别为(20±10)h、(3.7±1.5)d,对照组分别为(19±10)h、(3.5±1.3) d;两组比较,差异均无统计学意义(P>0.05)。结论:妇科普外科联合进行腹腔镜手术是安全有效的。

Objective： To investigate the characteristics and etticacy of gyrnaecology combined with general surgery in laparoscope operation and its applied prospects. Methods： 30 inpatients were divided into observation and control groups. The patients （n=15） with and general surgery diseases in the observation group were performed laparoscope operation. The patients（n=15） with only gynecopathy in the control group were also performed laparoscope operation. Results： The patients in the two groups were operated on successfully. None of the cases was transferred to laparotomy and no severe complications occurred. The mean time of operation was signiticandy increased in observation group （130±92）min compared with control group （100±80）min （P〈 0.05）. The recovery time of bowel function and the mean time of hospitalization were mot different between the observation group [（20±10）h, （3.7±1.5）d] and control group [（ 19±10）h, （3.5±1.3）d] （both P〉0.05）. Conclusions： The combination of gynaecology with general surgery in laparoscope operation is proved to be safe and effective,which has broad prospects in clinical application.