妇科腹腔镜手术与传统开腹手术的比较研究

Comparative Study on Gynecological Laparoscopic Operation and Traditional Open Operation

目的探讨腹腔镜手术和传统开腹术的治疗效果。方法分别选择120例患者为观察组和对照组,施以腹腔镜手术和传统开腹术,观察并记录手术时间、出血量、胃肠反应、出院时间等,以评价两种手术方法的效果。结果观察组完成手术118例,对照组完成120例,两组在手术完成情况无统计学差异,P>0.05。观察组术中出血量为(37.66±20.04)mL,术后有3例患者出现并发症,8例使用镇痛剂,12例出现胃肠反应,胃肠功能平均恢复时间为(4.77±1.53)h,术后下床平均活动时间为(9.53±1.97)h,平均住院天数为(5.21±0.69)d,所有指标均与对照组有统计学差异,P<0.05。观察组平均手术时间为(47.57±11.39)min,显著高于对照组,P<0.05。结论虽然腹腔镜手术时间相对较长,但是具有更好的术中和术后效果,值得临床运用。

Objective To explore the treatment outcome oflaparoscopic operation and traditional laparotomy. Methods 120 cases were chosen as the observation group and the control group, with laparoscopic operation and traditional open surgery. The operation time, bleeding volume, gastrointestinal reaction, discharge time were observed and recorded to evaluate the effect of two kinds of operation methods. Results 118 cases in the observation group completed the operation, the control group was performed in 120 cases, operation completion had no significant difference, P 〉0.05. The bleeding volume in operation of the observation group was （37.66 ± 20.04） mL. 3 patients had postoperative complications, 8 cases used analgesic agents, 12 cases had gastrointestinal reaction. The mean recovery time of gastrointestinal function was （4.77 ± 1.53） h, the average time of postoperative ambulation was （9.53 ± 1.97） h, the average days of hospitalization was （5.21 ± 0.69） d, all the indices were compared with the control group, with statistical significant difference, P 〈0.05. In the observation group, the mean operation time was （47.57 ± 11.39） min, significantly higher than that in the control group, P 〈0.05. Conclusion Despite its relatively long time of operation, laparoscopy has better intraoperative and postoperative effect, which is worthy of clinical application.