妇科腹腔镜技术在40例Ⅱ°肥胖患者中应用的效果观察

Observation application of Ⅱ° obese patients in gynecological laparoscopy surgery:analysis of 40 cases

目的 探讨具有妇科疾病、体重指数（BMI）≥30 kg/m2的Ⅱ°肥胖患者进行腹腔镜手术的安全性及临床应用效果。方法对2006年8月~2010年10月在我科就诊并行妇科手术的体重指数（BMI）≥30 kg/m2肥胖患者40例进行回顾性分析。将患者分成两组,观察组（腹腔镜组）16例,对照组（开腹组）24例。对术中、术后观察指标进行分析。结果腹腔镜组和开腹组比较,手术时间、出血量、肛门排气时间、住院时间及术后并发症均有统计学差异（P〈0.05）。讨论重视肥胖患者围手术期内科合并症的处理,在严格妇科疾病肥胖患者腹腔镜手术的适应证及禁忌证的基础上进行腹腔镜手术是安全可行的。

Objective To study the reliability and clinical efficacy of the laparoscopic operation in treating gynecological diseases of Ⅱ° obese patients.Methods Between Aug 2006 and Oct 2010,Retrospective analysis 40 cases of the obese women with surgery indication.Patients were divided into 2 groups： 16 cases were treated by laparoscopic surgery.24 cases were treated by laparotomy surgery.To compara the curative effect of laparoscopic and laparotomy surgery on obese patients.Group laparoscopic surgery（n=16） and group laparotomic surgery（n=24）.Results To compare the operating duration,operative blood loss,postoperative recovery,length of hospital stays and surgical complications had a significant difference between the two groups（P0.05）.Conclusions Laparoscopic operation is safe and feasible for obese patients.Especially,it is indicated that laparoscopy were be better in abdominal wound healing and out-of-bed activity and hospital day comparing with iaparotomy group.