盆腹腔手术史对妇科微创手术治疗效果的影响分析

Analysis of the Effect of Pelvic and Abdominal Surgery on the Treatment of Gynecological Minimally Invasive Surgery

目的分析盆腹腔手术史对妇科微创手术治疗效果的影响。方法选取于2017年6月-2018年9月该院所收治妇科微创术的患者100例为研究对象。依据有无盆腹腔临床手术治疗历史,将该100例患者分成两组,常规组(无盆腹腔临床手术治疗历史)患者50例,干预组(有盆腹腔临床手术治疗历史)50例。回顾分析两组临床资料,综合分析盆腹腔术史对患者妇科微创术治疗效果具体影响。结果通过该次临床观察及研究表明,干预组患者盆腹腔的粘连率为48.00%,略高常规组20.00%,组间的数据对比差异有统计学意义(χ^2=4.193,P<0.05);两组患者盆腹腔的粘连程度、手术指标,组间的数据对比差异无统计学意义(P>0.05);相对于微创术组,开腹术组患者盆腹腔的粘连实际发生率相对较高,相比较多次的手术史患者,既往1次的盆腹腔临手术史患者,粘连率略低,其粘连程度及手术指标,组间的数据对比差异有统计学意义(χ^2=4.193,P<0.05)。结论既往存在盆腹腔临床手术史患者,可安全采取妇科的微创术治疗。但是,术前务必先做好检查,做好粘连部位预判,择选事宜的穿刺部位,以降低手术风险,便于提高临床治疗效果。

Objective To analyze the effect of pelvic and abdominal surgery on the treatment of gynecological minimally invasive surgery.Methods One hundred patients with gynecologic minimally invasive surgery were enrolled in our hospital from June 2017 to September 2018.According to the history of clinical operation of pelvic and abdominal cavity,the 100 patients were divided into two groups,50 patients in the conventional group(no history of pelvic and abdominal surgery),and 50 patients in the intervention group(with history of pelvic and abdominal surgery).The clinical data of the two groups were retrospectively analyzed,and the specific influence of the history of pelvic and abdominal surgery on the treatment effect of gynecological minimally invasive surgery was analyzed.Results The clinical observation and study showed that the adhesion rate of the pelvic and abdominal cavity was 48.00% in the intervention group and slightly higher than that in the conventional group(20.00%).There was a statistically significant difference between the two groups(P<0.05).There were no statistical differences in the degree of adhesion between the two groups of patients with pelvic and abdominal cavity and surgical index.There was no statistical difference between the two groups(P>0.05).Compared with the minimally invasive surgery group,the actual incidence of adhesion in the pelvic and abdominal cavity of the open surgery group was relatively high.Compared with the patients with multiple surgical history,the previous 1 patient with pelvic and abdominal cavity who had a history of surgery had a slightly lower adhesion rate,the degree of adhesion and the score of the surgical index.There was a statistically significant difference between the groups(χ^2=4.193,P<0.05).Conclusion Patients with a history of pelvic and abdominal surgery have been able to safely take gynecological minimally invasive surgery.However,it is necessary to check the preoperatively,pre-judgment the adhesion site,and select the puncture site to reduce the risk of surgery and improve the clinical treatment effect.