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目的探讨腹腔镜在青春期少女妇科急腹症的应用及治疗价值。方法回顾分析246例青春期少女妇科急腹症患者临床资料,其中142例行腹腔镜手术治疗(腹腔镜组),104例行开腹治疗(开腹组)。比较两组的术中及术后结果。结果 142例腔镜组患者均手术成功。腹腔镜组术中出血量、症状体征缓解时间、体温恢复正常时间、抗生素应用时间、平均住院时间较开腹组明显缩短,两组差异有统计学意义(P<0.05)。腹腔镜组无明显术后并发症发生。结论腹腔镜治疗幼青春期少女妇科急腹症安全、有效,而且较传统开腹术式有缩短病程、减少手术时间和创伤、术后恢复快等优点,尤其适用于青春期少女的妇科急腹症患者。
Objective To investigate the application and therapeutic value of laparoscopy in adolescent gynecologic acute abdomen. Methods A retrospective analysis of 246 cases of adolescent girls with acute abdomen clinical data, of which 142 cases of laparoscopic surgery (laparoscopic group), 104 cases of laparotomy (laparotomy group). The intraoperative and postoperative outcomes were compared between the two groups. Results 142 cases of endoscopic surgery were successful. Laparoscopy group bleeding, symptom and symptom relief time, body temperature recovery time, antibiotic application time, the average hospital stay was significantly shorter than the open group, the difference between the two groups was statistically significant (P <0.05). Laparoscopic group no obvious complications occurred. Conclusions Laparoscopic treatment of young adolescent gynecologic acute abdomen is safe and effective. Compared with traditional laparoscopic surgery, laparoscopic surgery can shorten the course of the disease and reduce the time and trauma of operation and quick recovery after operation. It is especially suitable for patients with adolescent gynecologic acute abdomen .