腹腔镜手术在妇产科手术治疗中的临床效果观察

Clinical observation of laparoscopic surgery in gynecological surgery

目的探讨腹腔镜手术在治疗妇科疾病中的临床疗效与安全性。方法选取2015年12月~2017年2月我院收治的158例妇科手术患者作为研究对象,依据随机数字表法将患者分为两组,每组各79例。研究组患者行腹腔镜手术,对照组患者行开腹手术。比较分析两组患者的手术时间、术中出血量、术后排气时间及住院时间。结果研究组患者均在腹腔镜下顺利完成手术治疗。两组患者的手术时间比较,差异无统计学意义(P>0.05)。研究组患者的术中出血量明显少于对照组,术后排气时间、住院时间明显短于对照组,差异有统计学意义(P<0.05)。结论与开腹手术比较,腹腔镜下妇科手术具有出血少、手术后康复快、并发症发生少以及创伤小的优势,具有较高的安全性,且属于保留子宫的重要手术方法。

Objective To investigate the clinical efficacy and safety of laparoscopic surgery in the treatment of gyneco- logical diseases.Methods 158 patients with gynecological surgery admitted in our hospital from December 2015 to February 2017 were selected as the subjects.The patients were divided into two groups according to the random number table method,79 patients in each group.The patients in the study group underwent laparoscopic surgery,while the pa- tients in the control group underwent laparotomy.The operation time,intraoperative blood loss,the postoperative exhaust time and the hospitalization time were compared between the two groups.Results All of the patients in the study group underwent laparoscopic surgery successfully.The operation time was compared between the two groups,and the differ- ence was not statistically significant （P〉0.05）.The intraoperative blood loss of the patients in the study group was signif- icantly lower than that in the control group,the postoperative exhaust time and hospitalization time were significantly shorter than those in the control group, and the differences were statistically significant （P〈0.05）.Conclusion Compared with laparotomy,laparoscopic gynecological surgery has the advantages of less bleeding, quick recovery after operation, less complication and less risk of trauma in patients with high safety and belongs to the important surgical method of preserving the uterus.