妇科急腹症手术途径的探讨

Explore on the surgical treatment of gynecologic acute abdomen

目的 :探讨妇科急腹症手术途径。方法 :回顾分析该院于 2 0 0 3年 1～ 10月间腹腔镜或剖腹手术治疗 138例妇科急腹症病人的临床资料 ,其中 70例行腹腔镜手术 (研究组 ) ,6 8例剖腹手术 (对照组 )。结果 :两组年龄 ,体重、剖腹术史、急腹症病因、手术时间等方面无差异 ,而术后病人对镇静剂需求、术后住院天数及肠道功能恢复有显著差异 (P<0 .0 1)。结论 :妇科急腹症选择腹腔镜手术优于传统剖腹术 ,是妇科急腹症诊断和治疗安全、可行的方法。

Objective:To discuss the surgical treatment of gynecologic acute abdomen. Methods:Review and analyze the clinical data of 138 patients, in total, who suffered from gynecologic acute abdomen and received surgical treatment ( laparotomy or laparoscopy ) in this hospital between Jan. 2003 and Oct. 2003. The patients were divided into two groups: 70 patients with laparoscopy in the study group; and the other 68 patients with laparotomy in the control group. Results:The differences between the two groups in terms of age, weight, previous history of laparotomy, etiology of acute abdomen and time of surgery are not significant.But the data also suggests significant statistic differences in requirement for analgesic, time of hospitalization after surgery, and in the recovery time of gastrointestinal function after surgery (P<0.01).Conclusion: Laparoscopy has an advantage over laparotomy in treating gynecologic acute abdomen and also is safe and feasible method for diagnosis and treatment of gynecologic acute abdomen.