腹腔镜辅助腹部单小切口治疗附件良性疾病疗效分析  

To Observe the Clinical Effect of Laparoscopic Assisted with One Small Incision for Adnexal Benign Disease

作　　者：李可[1] 

机构地区：[1]江苏省徐州市妇幼保健院,徐州221009

出　　处：《中国医药导刊》2010年第8期1339-1340,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨腹腔镜辅助腹部单小切口治疗附件良性疾病的临床价值。方法:将2009年8～10月术前诊断为卵巢囊肿、异位妊娠、输卵管性不孕症患者126例,随机分为两组,其中,70例行腹腔镜辅助腹部单小切口手术治疗;56例行腹腔镜手术治疗。结果:腹腔镜辅助组手术时间为(40.3±21.9)min,腹腔镜手术组手术时间为(56.3±32.9)min,P<0.05;腹腔镜辅助组术中PetC02(40.6±5.1)mmHg,腹腔镜手术组术中PetCO_2值(56.7±4.9)mmHg,P<0.05。术中Comp1、HR、MAP无明显差异。两组术后肠排气,术后伤口恢复情况,术后住院天数无明显差异。结论:腹腔镜辅助腹部单小切口治疗附件良性疾病比腹腔镜手术时间短,术后并发症少,值得在临床上推广应用。Objective： To explore clinical value of laparoscopic assisted with one small incision for adnexal benign diseases. Methods：From AUG-OCT 2009,126 cases Of ovarian cysts, ectopic pregnancies and oviduct obstructive infertilities were divided into two groups randomly：70 cases with laparoscopic assisted with one small incision and 56 cases with laparoscopic.Results：There was significant difference（P〈0.01）in operating,which was（40.3±21.9）min in laparoscopic assisted group and（56.3±32.9）min in laparoscopic group.The PetCO2 in both groups also had significant difference（P〈0.05）,which was（40.6±5.1） mmHg in laparoscopic assisted group and（56.7±4.9） mmHg in laparoscopic group.There was no significant difference in Compl,HR and MAP.The same was in intestine exhaust, wound resume and hospitalised days after operation.Conclusions：Laparoscopic assisted with one small incision for adnexal benign diseases are bester than laparoscopic in shortening operating time and small operative complication .It is worthy to be used widely.

关 键 词：腹腔镜辅助 单小切口 附件良性疾病 

分 类 号：R713[医药卫生—妇产科学]