妇科急腹症腹腔镜治疗210例临床分析

Clinical Analysis of Gynecologic Abdominal Emergency by Laparoscopy in 210 Cases

目的:探讨腹腔镜手术治疗妇科急腹症的临床应用价值。方法:回顾分析2007年1月—2010年8月210例因妇科急腹症在我院行急诊腹腔镜手术的患者的临床资料,并与同期行急诊开腹手术的200例患者进行比较。结果:与开腹组相比,腹腔镜组手术时间明显缩短,术中出血量少,术后体温恢复正常快,留置尿管时间短,进食早,肛门排气早,下床活动早,住院时间缩短,2组间有显著差异(P<0.01)。腹腔镜手术切口愈合良好。结论:腹腔镜手术治疗妇科急腹症快速、安全、有效,可作为一种常规手术加以推广。

Objective：To explore the clinical application of laparoscopy in gynecologic abdominal emergency.Methods： The clinical data of 210 cases with gynecologic acute abdomen from 2007 to 2010 who were treated by laparoscopy were analyzed retrospectively.The results were compared with 200 patients who were treated by regular surgery during the same period.Results： In laparoscopic surgery group,operation time was shorter,bleeding volume during surgery was less,post-operation body temperature recovered earlier,detaining urinary canal time was shorter,patients ate food earlier and exsufflation faster,active earlier,hospital stay time was shorter.All patients＇wound healing were belter.There were significance statistical diferences（P0.01） compared with the control group.Conclusions： Treating the abdominal emergency with laparoscopy is safe,effective,quick and can be generalized as a regular operation.