妇科急腹症两种手术方式的临床比较研究  

Clinical Comparative Study of Two Types of Surgery on Gynecologic Acute Abdomen

作　　者：张月梅[1] 

机构地区：[1]广东省深圳市宝安区妇幼保健院妇科,广东深圳518133

出　　处：《河北医学》2011年第6期741-743,共3页Hebei Medicine

摘　　要：目的:比较腹腔镜与传统的开腹手术治疗妇科急腹症的临床疗效。方法:将我院2010年1月至2011年1月收治的80例妇科急腹症患者随机分为对照组与观察组,每组40例。对照组采用传统的开腹手术进行治疗;观察组采用腹腔镜治疗。比较两组患者的手术时间、术中出血量、肛门排气时间、术后镇痛剂使用剂数、住院时间、手术成功率以及并发症发生情况,并进行统计分析。结果:观察组的手术时间、术中出血量、肛门排气时间、镇痛剂使用剂数、住院时间以及并发症发生率分别为(52.7±10.8)min、(32.8±7.2)mL、(16.2±1.7)min、(21±5)剂、(5.0±1.9)d和5.0%,均低于对照组的(66.4±11.4)min、(57.9±11.5)mL、(28.6±2.6)min、(32±7)剂、(8.1±2.2)d和17.5%。两组上述指标比较差异均具有统计学意义(P<0.05);两组手术成功率均为100%。结论:腹腔镜治疗妇科急腹症的临床疗效明显优于开腹手术,值得在临床中推广应用。Objective：To compare the clinical efficacy of the treatment of gynecologic acute abdomen（GAA） by using laparoscopy and laparotomy.Method：80 patients of GAA were randomly divided into control group and observation group from January 2010 to January 2011 in our hospital,each with 40 cases.The control group was treated with laparotomy while the observation group was used laparoscopy.The two groups were compared with the operative time,blood loss,anal exhaust time,doses of analgesic,hospital stay time,surgical success rate and complications.Result：The operation time,blood loss,anal exhaust time,doses of analgesics,hospital stay time and complication rate of the observation group was（52.7±10.8） min,（32.8±7.2） mL,（16.2±1.7） min,（21±5） agents,（5.0±1.9） days and 5.0%,lower than t（66.4±11.4） min,（57.9±11.5） mL,（28.6±2.6） min,（32±7） agents,（8.1±2.2） days and 17.5% of the control group.The difference between the two indexes were significant（P〈0.05）;the success rate of the two groups was 100%.Conclusion：The clinical efficacy of treatment of GAA by using laparoscopy is better than laparotomy,and it should widely applied in clinical.

关 键 词：妇科急腹症 腹腔镜 开腹 

分 类 号：R713[医药卫生—妇产科学]