腹腔镜治疗妇科急腹症疗效及安全性评价

发布时间：2018-01-07 15:36

本文关键词：腹腔镜治疗妇科急腹症疗效及安全性评价　出处：《实用妇科内分泌杂志(电子版)》2016年14期 　论文类型：期刊论文

【摘要】：目的观察腹腔镜治疗应用于妇科急腹症的疗效,并对其安全性进行评价。方法选取我院2013年7月~2015年9月收治的妇科急腹症患者90例作为研究对象,均实施急诊救治,将其平均分为开腹组和腹腔镜组,各45例。开腹组采取开腹手术治疗,腹腔镜组实施腹腔镜,观察两组患者手术后效果,并进行统计对比和安全性评价。结果两组患者临床手术成功率均为100%,但是腹腔镜患者术后不良事件的发生率低于开腹组;并且腹腔镜组患者平均失血量比开腹组少;而开腹组手术操作时间、术后排气所用时间多于腹腔镜组,差异均有统计学意义(P0.05)。结论腹腔镜治疗妇科急腹症的疗效优于开腹手术的治疗,术后不良反应发生率低,安全性高,降低了患者的痛苦,预后疗效明显,值得临床大力推广。
[Abstract]:Objective to observe the effect of laparoscopic treatment on gynecological acute abdomen. Methods from July 2013 to September 2015, 90 patients with gynecological acute abdomen were selected as the research objects. The patients were divided into open group (45 cases) and laparoscopic group (45 cases). The patients in the open group were treated with open surgery, and the patients in the laparoscopic group were treated with laparoscopy. Results the success rate of the two groups was 100, but the incidence of adverse events in the patients with laparoscopy was lower than that in the open group. The mean blood loss in the laparoscopic group was less than that in the open group. The operative time and postoperative exhaust time in the laparotomy group were more than those in the laparoscopy group, and the difference was statistically significant (P 0.05). Conclusion Laparoscopic treatment of gynecological acute abdomen is more effective than open surgery. The postoperative adverse reaction rate is low, the safety is high, the patient's pain is reduced, the prognosis curative effect is obvious, it is worth popularizing in clinic.
【作者单位】：河南省唐河县人民医院;
【分类号】：R713
【正文快照】： 妇科急腹症是指由于女性盆腔内的脏器发生病变而导致临床表现为畸形腹痛的一类疾病的统称,该类疾病发病急、病情进展快、诱因复杂多变,医护人员极易漏诊误诊[1],最终导致患者的死亡。临床医护人员对于该类疾病的治疗尤其对于腹腔出血并伴有昏迷或者急性盆腔炎、盆腔脓肿、宫角

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