妇科腹腔镜手术1276例临床分析

Clinic analysis of 1276 cases of laparoscopic surgery in gynecology

目的:探讨妇科腹腔镜手术治疗妇科疾病的临床价值。方法:总结妇科腹腔镜手术1276例临床资料,分析其手术适应证、手术方式、并发症。结果:1270例在腹腔镜下完成,6例因手术困难中转开腹。平均手术时间为(54.20±25.33)min,最长175min,最短20min。术中出血<5ml者550例,5～50ml者427例,50ml以上者299例。术后平均住院时间3～5d。手术并发症发生12例,并发症发生率为0.94%。结论:腹腔镜手术具有创伤小、疼痛轻、恢复快、适应性广、出血少、并发症少等优点。选择合适患者,根据手术者经验及熟练程度循序渐进进行相应手术,可降低并发症发生率,并获得满意的临床效果。

Objective： To explore the value of laparoscopic operation in the treatment of gynecologic diseases. Methods： Retrospective analysis of 1 276 cases of taparoscopic surgery in gynecology. Results： 1 270 cases were completed with laparoscopic operation.6 cases completed with laparotomy. Mean operating time was （54.20±25.33） minutes,the longest operating time was 175 minutes, the shortest operating time was 20 minutes. In 550 cases, the amount of bleeding were less than 5 ml,427 cases were between 5-50 ml, 299 cases were more than 50 ml. The mean inpatient time was 3-5 days, nobody used anodyne. 12 cases showed complications,the rate was 0.94%. Conclusion： In suitable case, laparoscopic surgery can be safely and effectively utilized in gynecologic diseases for it＇s min injury,little pain, quicker recovery, extensive indication,less bleeding,less morbidity.