免气腹腹腔镜在妇科手术中应用的临床研究  

Application of gasless laparoscopy to gynecological operations

作　　者：蒋兴伟[1] 钟玲[1] 王勇[1] 曾飚[1] 

机构地区：[1]重庆医科大学附属第二医院妇产科,重庆400010

出　　处：《中国内镜杂志》2009年第10期1025-1027,1031,共4页China Journal of Endoscopy

摘　　要：目的研究免气腹腹腔镜在妇科手术中的应用价值。方法应用免气腹腹腔镜行妇科手术56例(卵巢囊肿剥除24例,子宫肌瘤挖除32例),气腹腹腔镜行妇科手术61例(卵巢囊肿剥除33例,子宫肌瘤挖除28例),比较两组手术时间、术中出血量及术后恢复情况。结果免气腹组卵巢囊肿剥除的平均时间多于气腹组(P<0.05),而肌瘤挖除所需时间和术中出血量均显著少于气腹组(P<0.01),术后体温升高、腹痛及肛门排气时间两组比较差异无显著性(P>0.05)。结论免气腹腹腔镜手术不但可避免二氧化碳气腹的并发症,而且缝合、打结等操作简单易行,特别在子宫肌瘤挖除术中占有明显优势,值得推广运用。[ Objective ] To study the value of gasless laparoscopy in gynecological operations. [ Methods ] Gasless laparoscopy was applied to 56 patients who underwent gynecological operations （24 patients underwent oophorocystectomy and 32 patients underwent myomectomy）, and gas laparoscopy to 61 patients who also underwent gynecological operations （33 patients underwent oophorocystectomy and 28 patients underwent myomectomy）. The operation duration, the amount of bleeding in operation and the postoperative recovery were compared between the two groups. [ Results ] The average operation time of oophorocystectomy in gasless laparoscopy group was longer than that in gas laparoscopy group （P 〈0.05）, but the average operation time and amount of bleeding of myomectomy in gasless laparoscopy group were significantly less （P 〈0.01） compared with those in gas laparoscopy group. There were no statistical differences in postoperative fever, abdominal pain and time of gas passage through anus between the two groups （P 〉0.05）. [Conclusion] Gasless laparoscopy for gynecological operations can not only avoid the complication of CO2 pneumoperitoneum, but also require merely simple suture and ligature. It is of obvious superiority especially in myomectomy, and worth of spreading.

关 键 词：卵巢囊肿剥除术 子宫肌瘤挖除术 免气腹腹腔镜手术 

分 类 号：R713[医药卫生—妇产科学]