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目的探讨腹腔镜手术在妇科急腹症诊治中的应用价值。方法回顾分析应用腹腔镜诊断和治疗妇科急腹症353例(A组)的临床资料,并与同期开腹手术297例(B组)比较,分析腹腔镜手术应用于妇科急腹症的应用价值。结果 A组353例顺利完成手术,包括异位妊娠286例,黄体破裂29例,巧克力囊肿破裂18例,卵巢囊肿蒂扭转12例,盆腔炎性疾病8例;中转开腹3例,未出现并发症。与B组比较,A组的手术时间短、术中出血量少、术后疼痛程度轻、肠道功能恢复早、住院时间短,无切口感染病例。结论腹腔镜技术应用于妇科急腹症创伤小,在可明确诊断的同时,又能实施治疗。
Objective To investigate the value of laparoscopic surgery in diagnosis and treatment of gynecologic acute abdomen. Methods The clinical data of 353 cases (group A) diagnosed and treated with gynecologic acute abdomen by using laparoscopy were retrospectively analyzed. Compared with 297 cases (group B) undergoing laparotomy in the same period, the value of laparoscopic surgery for gynecologic acute abdomen was analyzed . Results A group of 353 patients successfully completed surgery, including ectopic pregnancy in 286 cases, 29 cases of corpus luteum rupture, chocolate cyst rupture in 18 cases, ovarian cyst torsion in 12 cases, pelvic inflammatory disease in 8 cases; laparotomy in 3 cases, did not appear complicated disease. Compared with group B, group A had shorter operation time, less intraoperative blood loss, less postoperative pain, early recovery of intestinal function, shorter hospital stay and no incision infection. Conclusions Laparoscopy is used in the treatment of gynecologic acute abdomen trauma, which can be diagnosed at the same time and can be treated.