腹腔镜治疗妇科急症593例临床分析

The clinical analysis of laparoscopic treatment in gynecologic acute abdomen for 593 cases

目的:探讨腹腔镜治疗妇科急症的可行性、安全性及治疗效果。方法:回顾分析2003年7月至2007年10月我院用腹腔镜治疗593例妇科急症患者的临床资料。结果:593例患者均用腹腔镜完成手术,其中异位妊娠512例,手术时间18～75min,平均32min,术中出血10～70ml,平均25ml;盆腔炎、盆腔脓肿47例,手术时间35～90min,平均49min,术中出血45～130ml,平均84ml;黄体破裂、卵巢内膜囊肿破裂、卵巢囊肿蒂扭转34例,手术时间35～80min,平均52min,术中出血20～85ml,平均65ml;术后住院3～7d,平均4.5d,随访12～36个月无复发。结论:腹腔镜手术治疗妇科急症安全可行,且具有良好的效果。

Objective：To evaluate the feasibility, safety and effect for laparoscopic treatment of the gynecological acute abdomen. Methods： The clinical data of 593 cases with gynecological acute abdomen from Jul. 2003 to Oct. 2007 treated by laparoscopy were analyzed retrospectively. Results：Five hundred and ninety-three cases were treated by laparoscopic operation. Among them, the operative time of 512 cases with the ectopic pregnancy was 18-75min（ mean 32rain） ,47 cases with pelvic inflammation and abscess was 35- 90min（mean 49min）,34 cases with corpus luteum rupture, ovarian endometrial cyst rupture and ovarian cyst torsion was 35-80min （mean 52min） ,their blood loss in operation was 10-70ml（ mean 25ml） ,45-130ml（ mean 84ml） ,20-85ml（ mean 65ml） ,after operation the patients were hospitalized for 3-7d（mean 4.5d）. During follow-up of 12-36 months, no recurrence occurred. Conclusions： Laparoscopic treatment of the gynecologic acute abdomen is feasible, safe and effective.