盆腹腔手术史对妇科微创手术治疗效果的影响

发布时间：2018-05-08 11:05

本文选题：妇科微创手术 + 盆腹腔手术史　；参考：《中国妇幼保健》2017年14期

【摘要】：目的评价分析盆腹腔手术史对妇科微创手术治疗效果的影响。方法选取2015年2月-2016年2月该院收治的妇科微创手术患者180例,其中既往有盆腹腔手术史者42例(观察组),既往无盆腹腔手术史者138例(对照组),回顾性分析患者的临床资料,讨论盆腹腔手术史对妇科微创手术治疗效果的影响。结果观察组患者盆腹腔粘连率(52.38%)高于对照组(9.42%),差异有统计学意义(P0.05);两组患者盆腹腔粘连程度及手术指标比较,差异无统计学意义(P0.05);妇科、产科、外科、混合等不同手术原因粘连发生率及粘连程度比较,差异有统计学意义(P0.05);两组手术指标比较,差异无统计学意义(P0.05);微创手术粘连率较开腹手术更低(P0.05);两组患者粘连程度、手术指标比较,差异无统计学意义(P0.05);既往仅1次盆腹腔手术史患者粘连率低于多次手术史者,粘连程度、手术指标比较,差异有统计学意义(P0.05)。结论既往有盆腹腔手术史患者可安全实施妇科微创手术,但术前应仔细检查,预判粘连部位,选择合适的穿刺位置,熟练掌握手术操作技巧,减少手术损伤和风险,提高治疗效果。
[Abstract]:Objective to evaluate the effect of pelvic abdominal surgery on gynecological minimally invasive surgery. Methods from February 2015 to February 2016, 180 patients with gynecological minimally invasive surgery were selected, 42 of them had history of pelvic and abdominal surgery (observation group, 138 cases without pelvic abdominal surgery) (control group, clinical data were retrospectively analyzed. To discuss the effect of pelvic and abdominal surgery history on gynecological minimally invasive operation. Results the rate of pelvic celiac adhesion in the observation group was higher than that in the control group (P 0.05), there was no significant difference between the two groups in the degree of pelvic and abdominal cavity adhesion and the surgical index (P 0.05), gynecology, obstetrics, surgery, gynecology, obstetrics and surgery. There were significant differences in the incidence of adhesion and the degree of adhesion between the two groups, there was no significant difference between the two groups (P 0.05), the rate of adhesion in minimally invasive surgery was lower than that in the open surgery (P 0.05), the degree of adhesion between the two groups was lower than that in the open surgery. There was no significant difference in surgical indexes (P 0.05), but the rate of adhesion was lower in patients with previous pelvic and abdominal surgery than that in patients with multiple operations. There was a significant difference in the degree of adhesion and the operative indexes (P 0.05). Conclusion patients with previous history of pelvic and abdominal surgery can safely perform gynecological minimally invasive surgery, but careful examination, predetermination of adhesion site, selection of appropriate puncture location, skilled mastery of operative techniques and reduction of surgical injury and risk should be performed before operation. Improve the therapeutic effect.
【作者单位】：佛山市南海区第七人民医院妇产科;
【分类号】：R713

【相似文献】