伴有盆腔黏连的妇科腹腔镜手术临床分析

Clinical Analysis of Gynecological Laparoscopy with Pelvic Adhesion

目的分析伴有盆腔黏连的妇科腹腔镜手术临床应用价值。方法选择2015年3月至2016年3月珠海市妇幼保健院收治的伴有盆腔黏连妇科疾病患者96例,随机分为两组,各48例。对照组采用传统开腹手术,观察组应用腹腔镜手术。比较两组手术疗效及手术情况。结果观察组手术总有效率为95.8%,明显高于对照组的83.2%,差异有统计学意义(P<0.05);观察组手术时间、出血量及住院时间分别为(76.7±9.4)min、(45.6±4.7)m L、(4.6±1.3)d,均明显少于对照组[(89.3±10.2)min、(98.4±11.6)m L、(10.3±2.4)d],差异有统计学意义(P<0.05)。结论伴有盆腔黏连的妇科腹腔镜手术应用价值显著,是一种安全可靠的盆腔黏连治疗手段,值得推广。

Objective To analyze the clinical application value of gynecological laparoscopy with pelvic adhesion. Methods 96 patients with gynecologic disease and pelvic adhesion admitted into our hospital from March 2015 to March 2016 were randomly divided into two groups,48 cases in each. Control group took traditional laparotomy,observation group took laparoscopy. The surgical efficacy and operation situation of two groups were compared. Results The total effective rate of observation group was95. 8%,which was significantly higher than 83. 2% of control group(P < 0. 05):The surgery time,bleeding volume,hospital stays of observation group were(76. 7 ± 9. 4) min,(45. 6 ± 4. 7) m L,(4. 6± 1. 3) d,which were significantly less than control group [(89. 3 ± 10. 2) min,(98. 4 ± 11. 6) m L,(10. 3 ± 2. 4) d ](P < 0. 05). Conclusion Gynecological laparoscopy with pelvic adhesion has significant application value,it is a safe and reliable treatment of pelvic adhesion,which is worthy generalization.