盆腔粘连的腹腔镜下钝性分离术  

Laparoscope-assisted blunt dissection surgery for pelvic cavity adhesion

作　　者：朱斌[1] 张淑珍[1] 赵玲利[1] 钱红燕[1] 吴鹏[1] 

机构地区：[1]浙江萧山医院妇一科,浙江杭州311201

出　　处：《中国现代医生》2012年第31期55-56,共2页China Modern Doctor

基　　金：2010年浙江省医学会临床科研基金项目(2010ZYC-A24)

摘　　要：目的探讨盆腔粘连的腹腔镜下钝性分离术的临床疗效。方法对我院行腹腔镜下盆腔粘连钝性分离的120例病例设立为治疗组,另选择同期行开腹手术80例,设立为对照组,比较两组盆腔粘连钝性分离的时间、术中出血量、首次肛门排气时间、抗生素使用时间、住院时间及术后随访情况。结果治疗组盆腔粘连钝性分离的时间、术中出血量、首次肛门排气时间、抗生素使用时间、住院时间均明显优于对照组,两组比较差异有统计学意义(P<0.05)。结论腹腔镜下诊断并个体化选择合适的钝性分离方法治疗,成功率高,并发症少,复发率低。Objective To investigate the clinical effect of laparoscope-assisted blunt dissection in pelvic cavity adhesion treatment. Methods All of 120 cases pelvic adhesions who underwent laparoscopic blunt dissection were established as the treatment group, and the other selected 80 cases the same period in laparotomy were established as the control group, blunt dissection of pelvic adhesions time, blood loss, first flatus, antibiotic use, hospitalization time and postoperative fol- low-up were compared. Results Pelvic adhesions blunt dissection in the treatment group time, blood loss, first flatus, use of antibiotics in time, hospitalization time were significantly better than the control group, the difference was statistically significant between two groups （P 〈0.05）. Conclusion Laparoscope-assisted diagnose and treat pelvic cavity adhesion using individualized suitable blunt dissection surgery has a high success rate, less complications and low recurrance rate.

关 键 词：盆腔粘连 腹腔镜 钝性分离术 

分 类 号：R711.3[医药卫生—妇产科学]