妇科腹腔镜手术临床疗效分析

Clinical Application of Laparoscopy in Gynecologic Diseases

【目的】探讨腹腔镜手术在治疗妇科病中的应用价值。【方法】将本院2005年1月至2006年12月收治的294例妇科疾病按手术方法分为两组,实验组197例(采用电视腹腔镜手术),对照组97例(常规开腹手术或腹腔镜中转开腹手术),对两组手术情况、并发症、预后进行回顾性分析比较。【结果】在手术时间、术中出血量、术后排气时间、术后病率、术后住院时间方面,实验组与对照组比较,差异均有显著性。【结论】与传统开腹手术相比,腹腔镜手术具有切口小、出血少、术后恢复快、治疗效果确切等优点。

[Objective] To explore the value of laparoscopy in the treatment of gynecologic diseases. [Methods] From Jan. 2005 to Dec. 2006, two hundred and ninety four patients were divided into two groups. One hundred and ninety seven patients in experimental group were treated by video-laparoscopy, while 97 patients were treated by routine laparotomy （or laparotomy turned from laparoscopy）. Condition of surgery, complication and prognosis between two groups were retrospectively analyzed and compared. [Results] All patients were treated successfully. The operative time, intraoperative blood loss, the time to first flatus, the incidence of postoperative pyrexia and postoperative hospital stay in laparoscopic group were significantly different from those in control group. [Conclusion] Laparoscopy for gynecologic diseases has benefits including small incision, less bleeding, quick recovery and certain therapeutic effect as compared with laparotomy.