腹腔镜在妇科急症诊治中的作用及安全性分析  

Analysis on the Effect and Safety of Laparoscopy in Diagnosis and Treatment for Gynecological Emergency

作　　者：吕世一[1,2] 

机构地区：[1]深圳市龙岗中心医院妇产科 [2]深圳市第九人民医院,广东深圳518112

出　　处：《医学综述》2012年第22期3891-3892,共2页Medical Recapitulate

摘　　要：目的探讨腹腔镜手术在妇科急症诊治中的作用以及安全性。方法选取深圳市龙岗中心医院院近期收治的90例妇科急症患者,随机分为两组,其中试验组48例,行腹腔镜手术;对照组42例,行开腹手术。手术后随访1～2个月,比较两组患者的临床疗效和并发症发生率,以及术中出血量、术后止痛药使用率、术后肛门排气时间、住院时间等临床指标。结果两组间相比,治疗后试验组患者的总有效率为95.8%,高于对照组的81.0%(P<0.05);验组并发症发生率为4.2%,对照组为16.7%(P<0.05);试验组各临床指标均优于对照组(P<0.05)。结论应用腹腔镜诊治妇科急症可以显著提高临床疗效,减少并发症的发生。Objective To explore the effect and safety of laparoscopic operation on diagnosis and treatment for gynecological emergency. Methods 90 gynecological emergency patients admitted to our hospital recently were selected and randomly divided into two groups, observation group of 48 patients to receive laparoscopic sur- gery ; control group of 42 patients to receive open surgery. 1 to 2 months follow-up was done, and the clinical effi- cacy and complication incidence, blood loss, postoperative analgesics usage, postoperative anal exhaust time, length of hospital stay and other clinical indicators of the two groups were compared. Results Total effective rate of observation group after treatment was 95.8%, which was higher than control group （81.0% ,p 〈 0.05 ） ; complication incidence of observation group was 4.2% ,lower than the control group（ 16.7% ,p 〈0.05 ） ;clinical indicators ofobservation group were better than the control group （p 〈 0.05 ）. Conclusion Using laparoscopic operation in diagnosis and treatment for the gynecologic emergency can significandy improve the clinical efficacy and reduce complications.

关 键 词：腹腔镜手术 开腹手术 妇科急症 

分 类 号：R657.4[医药卫生—外科学]