腹腔镜治疗妇科急腹症临床应用分析

Clinical Application Analysis of Laparoscope in Treatment of Gynecological Acute Abdomen

目的探讨腹腔镜治疗妇科急腹症的临床疗效。方法回顾性分析整群选取的2011年1月—2014年12月该院收治的84例妇科急腹症患者临床资料,随机分成观察组和对照组各42例,观察组行腹腔镜手术治疗,对照组行传统开腹手术治疗,观察两组患者手术时间、术中出血量、术后住院时间、术后镇痛剂使用例数。结果两组均顺利完成手术,观察组手术时间(62.4±12.6)min低于对照组(90.4±24.3)min,术中出血量(37.2±8.5)m L少于对照组(73.5±14.7)m L,术后住院时间(4.6±1.3)d少于对照组(8.7±2.3)d,术后镇痛剂使用例数观察组有3例,对照组有31例,差异有统计学意义(P<0.05)。结论腹腔镜治疗妇科急腹症,损伤小、痛苦少、恢复快,对抢救患者生命和术后恢复有重要意义。

Objective To discuss the clinical curative effect of laparoscope in treatment of gynecological acute abdomen.Methods The clinical data of 84 cases of patients with gynecological acute abdomen treated in our hospital from January2011 to December 2014 were retrospectively analyzed and randomly divided into two groups with 42 cases in each, the observation group were treated with laparoscopic operation, the control group were treated with traditional laparotomy, the operation time, intraoperative blood loss, postoperative length of stay and postoperative analgesic use cases were observed.Results Both groups had a successful operation, the operation time in the observation group was shorter than that in the control group（62.4±12.6）min vs（90.4±24.3）min, the intraoperative blood loss in the observation group was lower than that in the control group,（37.2±8.5）ml vs（73.5±14.7）ml, the postoperative length of stay in the observation group was shorter than that in the control group（4.6±1.3）d vs（8.7±2.3）d, and the postoperative analgesic use cases were 3 cases in the observation group and 31 cases in the control group, the difference was statistically significant（P〈0.05）. Conclusion Laparoscope in treatment of gynecological acute abdomen has less damage, less pain and quick recovery, which is of important significance to rescue patient＇s life and postoperative recovery.