腹腔镜与开腹手术治疗妇科疾病的临床效果对比

Comparison of laparoscopic surgery and open abdominal surgery in treatment of gynecological diseases

目的评价腹腔镜与开腹手术治疗妇科疾病的临床效果。方法选取该院2011年8月-2015年3月收治的需手术治疗的妇科疾病患者620例,将其随机分为观察组(A组)和对照组(B组)各310例,A组患者施以腹腔镜手术,B组采用常规开腹手术治疗,比较两种手术方式的临床效果。结果 A组术中出血量、肠胃功能恢复时间、下床活动时间及住院时间均明显低于B组,两组对比差异有统计学意义(P<0.01);A组术后胃肠反应率、镇痛剂使用率及并发症发生率分别为9.7%、5.2%和3.9%,明显低于B组(P<0.01),切口甲级愈合率明显高于B组,两组对比差异具有统计学意义(P<0.01);两组在手术时间方面差异无统计学意义(P>0.05)。结论腹腔镜手术治疗妇科疾病具有创伤小、痛苦少、术后恢复快、安全性高和切口愈合好等优点,临床效果普遍优于常规开腹手术。

Objective To evaluate the clinical effect of laparoscope and open surgery for treatment of gynecological diseases. Methods 620 female patients with gynecological diseases were divided into two groups randomly （Group A： n = 310, Group B： n = 310）. Group A was treated by laparoscopic surgery, Group B was treated by open abdominal surgery. The clinical effects of laparoscope and open abdominal surgery were compared between the two groups. Results Group A had better results in intraoperative blood loss, recovery time of intestine and stomach function, get out of bed time and hospitalization time than that in group B, there were significant difference （P 〈 0.01）. The gastrointestinal reaction rate after operation, the anodyne utilization, the complication incidence rate was 9.7 %, 5.2 %, 3.9 % respectively, it is lower than that in group B; and wound healing was better in group A than group B, with statistical difference （P 〈 0.01）. There was no significant difference in operation time between the two groups （P 〉 0.05）. Conclusions Laparoscopic surgery has better effects for treatment of gynecological diseases than open abdominal surgery.