腹腔镜手术与开腹手术治疗妇科疾病的疗效分析

Efficacy analysis between laparoscopic and open operation in the treatment of gynecological diseases

目的:总结分析开腹手术与腹腔镜手术治疗妇科疾病的临床疗效。方法:回顾分析2008年1月至2012年1月收治的100例妇科疾病患者(包括宫外孕、卵巢囊肿、卵巢良性肿瘤、盆腔脓肿等)的临床资料,随机分为两组,50例行开腹手术(A组),50例行腹腔镜手术(B组)。结果:B组患者手术时间、术中出血量、排气时间、治疗效果均优于A组,差异有统计学意义(P<0.01)。结论:腹腔镜手术治疗妇科疾病具有手术时间短、患者创伤小、疗效良好的优点,术者应明确把握手术适应证,熟悉手术操作,熟练掌握并发症的临床表现及预防处理措施。

Objective：To summarize and analyze the effectiveness of open operation and laparoscopic operation in the treatment of gynecological diseases. Methods： The clinical data of 100 patients with gynecological diseases （ ectopic pregnancy, ovarian cyst, ovar- ian benign tumor,pelvic abscess and so on） from Jan. 2008 to Jan. 2012 were retrospectively analyzed. The patients were randomized to undergo open operation （ group A, n = 50 ） , or laparoscopic operation （ group B, n = 50 ）. There was no significant difference in the basic characteristics between 2 groups（ P 〉 0.05 ）. Condition of surgery, complication and prognosis between two groups were retrospectively analyzed and compared. Results： All patients were treated successfully. The operative time, intraoperative blood loss, the time of first fla- tus, the incidence of postoperative pyrexia and postoperative hospital stay in group B were significantly better than those in group A. Conclusions ：Laparoscopy for gynecological diseases has benefits including less operative time and trauma, and better therapeutic effect as compared with laparotomy. Surgeons should clearly grasp the operative indications, be familiar with operation, proficient in clinical manifestation of complications and their prevention and management.