3D腹腔镜手术在妇科疑难手术中的应用探讨  

Application of 3D laparoscopic surgery in gynecological operation for difficult miscellaneous diseases

作　　者：吴雪峰[1] 赖昌生[1] 苏煜[1] 吴映波[1] 谢树英[1] 

机构地区：[1]广西玉林市红十字会医院,玉林537000

出　　处：《右江医学》2015年第2期151-154,共4页Chinese Youjiang Medical Journal

基　　金：广西玉林市科技攻关项目(合同编号:玉科计字201426003)

摘　　要：目的探讨3D腹腔镜手术在妇科疑难手术中的应用效果。方法将2014年5月1日至2014年10月1日妇产科收治的125例妇科疑难手术患者随机分为两组。观察组63例,运用新型的3D腹腔镜手术进行治疗,对照组62例,运用普通腹腔镜手术进行治疗。发放自行定制的治疗效果评价调查表,患者满意度调查表,对患者进行问卷调查,对比观察两组患者的治疗效果评分、患者满意度评分、术中出血量、手术后下床活动时间等情况。结果 125例手术均顺利完成,无中转开腹。观察组的治疗效果评分、患者满意度评分显著高于对照组(P<0.01),术中出血量显著少于对照组(P<0.01),术后下床活动时间显著短于对照组(P<0.01)。两组患者均无严重并发症发生,无副损伤发生。结论 3D腹腔镜手术能够显著提高治疗效果评价,保证患者满意度,减少腹腔镜手术过程中的出血量,尽快帮助患者提前下床活动,值得推广应用。Objective To explore application effect of 3D laparoscopic surgery in gynecological surgery for difficult mis- cellaneous diseases.Methods 125 cases admitted to obstetrics and gynecology department and underwent gynecological sur- gery for difficult miscellaneous diseases from May 1 to October 1,2014,were randomly divided into observation group（ 63 ca- ses） and control group（ 62 cases）.The observation group were given 3D laparoscopic surgery, while the control group were given ordinary laparoscopic surgery.All patients were investigated by self-designed treatment effectiveness evaluation question- naire and patient satisfaction questionnaire.Then, therapeutic effect score, patient satisfaction score, intraoperatve blood loss and postoperative ambulation time, etc.were observed and compared between groups.Results Laparoscopic surgery were car- ried out successfully in 125 cases,without conversion to laparotomy.Therapeutic effect score and patient satisfaction score of the observation group were significantly higher than those of the control group（ P〈0.01 ） ,intraoperatve blood loss was signifi- cantly less and postoperative ambulation time was shorter than those of the control group（ P〈0.01 ）.No serious complications and subsidiary-injury were found in both groups.Conclusion 3D laparoseopic surgery can significantly improve therapeutic effect evaluation, ensure patient satisfaction, reduce bleeding during the laparoscopic surgery, and help patients leave bed to take activities as soon as possible.Thus, it is worthy of promotion and application in clinic.

关 键 词：3D腹腔镜手术 妇科疑难手术 患者满意度 

分 类 号：R713[医药卫生—妇产科学]