腹腔镜手术在妇科的临床应用价值

The Value of Laparoscopic Operation in Gynecologic Clinical Practice

目的 :探讨腹腔镜手术在妇科的临床应用价值。方法 :腹腔镜下行妇科输卵管手术、卵巢肿物手术、子宫 (包括肌瘤剔除及子宫切除 )手术 2 2 9例 ,选择同期同样手术指征的腹腔镜和开腹手术各 5 0例 ,进行手术时间、术中出血、术后镇痛用药率、术后输液日、住院日和术后发热率的比较。结果 :腹腔镜下绝大部分妇科良性疾病的手术获得成功。与开腹手术比 ,腹腔镜组术中出血少、术后用药少、痛苦小、住院日短、术后发热率低。结论 :腹腔镜手术创伤小、恢复快、术后并发症少 ,可施行于大部分妇科良性疾病。

Objectives:To study the clinical value of laparoscopic operation in treatment of gynecologic diseases.Methods:229 cases treated with appendix and uterine operations(including hysteromyomectomy and hysterectomy)by using laparoscopy were analyzed.Operation time,bleed amount in operation,anodyne drug consumption,postoperative infusion day,postoperative hospital stay and postoperative morbidity rate were compared between 50 cases selected from 229 ones and 50 cases of patients who had identical operative indications with the formers but were treated by abdominal operations.Results:Most of the laparoscopic operations with benign gynecologic diseases were conducted successfully and led to satisfactory results.Compared with the abdominal operations,laparoscopic ones had several advantages:less operation bleeding, less drug consumption,less pain suffering,shorter hospital stay,lower morbidity rate.Conclusions:Many benign gynecologic diseases can be treated by laparoscopic operation with less wound,quicker recovery and lower risk of postoperative complications.