妇科急诊腹腔镜手术应用于肥胖患者的临床分析  

Application of gynecological emergency laparoscopic surgery in obese patients

作　　者：李洋[1] Li Yang(Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院,郑州450000

出　　处：《中国实用医刊》2020年第10期71-72,共2页Chinese Journal of Practical Medicine

基　　金：河南省基础与前沿技术研究计划项目(132300410213)。

摘　　要：目的:探讨妇科急诊腹腔镜手术应用于肥胖患者的临床效果。方法:回顾性分析2010年7月至2015年12月河南省人民医院收治的妇科急诊腹腔镜手术68例肥胖患者的临床资料,包括病例类型、手术类型、手术时间、术中出血量、术后胃肠功能恢复时间、术后住院天数、术后并发症发生情况。结果:68例患者中异位妊娠31例(45.6%),卵巢囊肿破裂20例(29.4%),卵巢肿瘤蒂扭转12例(17.6%),盆腔囊肿5例(7.4%)。手术时间(50.5±10.2)min,出血量(53.0±20.7)ml,胃肠功能恢复时间(36.1±12.5)h,术后住院天数(4.3±2.5)d,其中2例患者发生尿潴留。结论:妇科急诊腹腔镜手术应用于肥胖患者具有诊断与治疗的双重效果,并能体现微创、并发症少和快速康复的优势,是一种安全、有效的手术方式。Objective To evaluate the effect of gynecological emergency laparoscopic surgery in obese patients.Methods The data of 68 obese patients undergoing gynecologic emergency laparoscopic surgery from July 2010 to December 2015 in Henan Provincial People’s Hospital were retrospectively analyzed,inclding the type of case,operation type,operation time,intraoperative blood loss,postoperative gastrointestinal function recovery time,postoperative hospitalization days,the postoperative complications.Results Among 68 patients,31 cases(45.6%)of ectopic pregnancy,20 cases(29.4%)of ovarian cyst rupture,12 cases(17.6%)of ovarian tumor pedicle torsion,and 5 cases(7.4%)of pelvic cyst.The operation time was(50.5±10.2)min,the bleeding volume was(53.0±20.7)ml,the gastrointestinal function recovery time was(36.1±12.5)h,and the postoperative hospital stay was(4.3±2.5)days.Two of the patients had urine retention.Conclusions Laparoscopic surgery for obese patients with acute abdomen has the dual effect of diagnosis and treatment,and can reflect the advantages of minimally invasive,rapid rehabilitation,so it is a safe and effective surgical approach.

关 键 词：腹腔镜 急腹症 肥胖 

分 类 号：R589.2[医药卫生—内分泌]