浅析腹腔镜治疗妇科急腹症临床效果

To Explore the Clinical Effect of Laparoscopic in Treatment of Gynecological Acute Abdomen

目的研究分析妇科急腹症使用腹腔镜治疗的效果。方法 2011年1月-2014年12月我院选取了84例急腹症妇科患者,将其分成对照组和观察组,均42例。观察组使用腹腔镜手术治疗,对照组使用开腹手术治疗,对两组的手术时间、出血量、住院时间和镇痛剂量进行对比分析。结果两组均顺利完成手术,观察组手术时间平均（62.4±12.6）min,手术出血量平均（37.2±8.5）ml、平均住院时间（4.6±1.3）d,对照组以上数据为（90.4±24.3）min,（73.5±14.7）ml,（8.7±2.3）d,对照组共有3例术后使用镇痛剂,对照组共有31例,两组研究指标对比,差异有统计学意义（P〈0.05）。结论妇科急腹症患者接受腹腔镜治疗的效果比较好,术后恢复快,对抢救和术后恢复的帮助较大。

Objective To study the effect of laparoscopic treatment of gynecological acute abdomen. Methods From January 2011 to December 2014 in our hospital, 84 cases of gynecologic acute abdomen patients, divided into the observation group and the control group, 42 cases. The observation group was treated by laparoscopic surgery, the control group was treated with open surgery, the operation time, blood loss, length of stay and analgesic dosage of the two groups were compared. Results The two groups were able to successfully completed surgery, observation group, operation time average（62.4±12.6） min, bleeding volume and average（37.2±8.5） ml, average hospitalization time（4.6±1.3） d, control group data for（90.4±24.3） min（73.5±14.7） ml,（8.7±2.3） d, control group total 3 cases of postoperative analgesic use, a total of 31 cases in the control group, index comparison of the two groups of research has significant difference（P〈0.05）. Conclusion Patients with gynecological acute abdomen accept laparoscopic treatment effect is better, faster postoperative recovery, to rescue and postoperative recovery of great help.