论文部分内容阅读
目的探讨腹腔镜(LS)应用于妇科疾病手术治疗中的价值优势。方法选取2012年3月至2014年5月在东莞市桥头医院妇科实施手术治疗的159例患者,根据手术方式分为对照组[70例,予以常规开腹手术(AS)治疗]和观察组(89例,采用LS手术治疗),比较两组患者术中、术后相关指标以及术后肠功能恢复情况。结果观察组肠功能相关指标的恢复时间明显短于对照组(P<0.05)。观察组术中出血量[(60.12±17.55)ml]及术中补液量[(2549.78±254.13)ml]、手术时间[(2.32±1.28)d]、术后发热的概率(24.7%)、住院天数[(3.48±1.13)d]均明显低于对照组,差异有统计学意义(P<0.05)。结论 LS手术切口小、术中出血量少,能显著降低患者术后盆腹腔粘连的概率,减少并发症发生率,有利于患者术后恢复,可广泛用于临床妇科疾病的治疗。
Objective To explore the value advantage of laparoscopy (LS) in the surgical treatment of gynecological diseases. Methods From March 2012 to May 2014, 159 patients who underwent surgery in Qiaotou Hospital of Dongguan City from March 2012 to May 2014 were selected and divided into control group (n = 70), conventional laparotomy (AS) and observation group (n = 89 cases, using LS surgery), compared the two groups of patients during surgery, postoperative related indicators and postoperative recovery of intestinal function. Results The recovery time of intestinal function-related indicators in the observation group was significantly shorter than that in the control group (P <0.05). The intraoperative blood loss (60.12 ± 17.55) ml and intraoperative fluid volume (2549.78 ± 254.13) ml and operation time [(2.32 ± 1.28) d, 24.7%, 24.7% Day [(3.48 ± 1.13) d] were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion LS surgical incision is small, less blood loss, can significantly reduce the probability of postoperative pelvic adhesions, reduce the incidence of complications, is conducive to postoperative recovery, can be widely used in the treatment of clinical gynecological diseases.