腹腔镜在妇科急腹症中的临床应用

The clinical application of laparoscopy in gynecologic acute abdomen

目的探讨腹腔镜在妇科急腹症诊治中的应用价值。方法回顾分析应用腹腔镜诊断和治疗妇科急腹症176例(观察组)的临床资料,并与同期开腹手术148例(对照组)比较。结果观察组手术时间较短,术中出血量少于对照组(P<0.05),而且肠道功能恢复快、住院时间短(P<0.05)。结论腹腔镜技术应用于妇科急腹症创伤小,在明确诊断的同时,又能实施治疗。

Objective To investigate the role of laparoscopy in gynecologic acute abdomen. Methods Data of 176 patients with gynecologic acute abdomen （observation group） underwent laparoscopy were analyzed, and the results were compared with those in 148 patients with gynecologic acute abdomen underwent open surgery. Results Operation time in observation group was less, bleeding volume during surgery was less than contral group （P 〈 0.05）, and bowel function recovered more quickly, hospital stay time was shorter （P 〈 0.05）. Conclusions Laparoscopy can carry out treatment at the same time of diagnosis with small trauma when used in gynecologic acute abdomen.