腹腔镜在妇科急症中的应用  

Laparoscopy in gynecological acute disease

作　　者：谭一范[1] 李忠祥[1] 董桂娥[1] 

机构地区：[1]潍坊市妇幼保健院,潍坊261011

出　　处：《腹腔镜外科杂志》2001年第3期155-156,共2页Journal of Laparoscopic Surgery

摘　　要：目的:总结电视腹腔镜手术在抢救妇科急性内出血患者的经验。方法:选择妇科有急症手术指征的患者100例,随机分为两组,腹腔镜组或剖腹组各50例,对两组疾病构成,两组手术方式及手术时间,腹腔内出血量,自体回输血量,术后体温,肠蠕动恢复时间,持续导尿时间,术后下床活动时间,住院时间进行比较分析。结果:两组患者在手术时间,腹腔内出血量,自体回输血量方面差异(P>0.05)无显著性,术后体温,肠蠕动恢复时间,持续导尿时间,术后下床活动时间,住院时间方面差异(P<0.01)有显著性。结论:腹腔镜手术用于妇科急性内出血视野大,侵袭性小,不干扰盆腔环境,术后发热率低,恢复快,住院时间短,明显优于开腹手术。Objective: To sum up the clinical experience of laparoscopy in treating acute hemorrhage of gy-necology. Methods: 100 cases with acute intemal hemorrhage were divided into two groups at random. 50 cases were treated by laparoscopy, while the other 50 cases by laparotomy. In the two groups, the types of disease, the method of operation and the operation time,the bleed amount,the blood amount of selftransportation,the postoperative morbidity rate and the time of intestive function recovery, indwelling catheter and leaving bed ,and the time of postoperative hospital stay were analyzed. Results: In the two groups, the operation time , the bleed amount, the selftransportation blood amount were not significantly different (P > 0.05) , but the postoperative mobidity rate, indwelling catheter time,leaving bed time and the postoperative hospital stay were significantly different(P < 0.01) .Conclusion:Compared with the laparotomy,laparoscopy has special advantages,such as larger scope,less injury,less disturbance of pelvis, faster recovery and shorter hospitalization time in treating acute gynecologic hemorrhage.

关 键 词：生殖器疾病 女性 腹腔镜 出血 

分 类 号：R713[医药卫生—妇产科学]