免气腹腹腔镜输卵管结扎术与常规腹腔镜手术应用对比研究

发布时间：2018-06-21 08:55

本文选题：腹腔镜 + 免气腹　；参考：《现代妇产科进展》2015年12期

【摘要】：目的:探讨免气腹悬吊式单操作孔腹腔镜结扎术的临床应用价值。方法:回顾分析2008年9月至2014年9月在临沂市妇幼保健院行输卵管结扎术的334例患者的临床资料,其中210例行免气腹悬吊式单操作孔结扎术,124例行气腹腹腔镜结扎术。比较各组的相关指标。结果:两组的手术时间、术中出血量、术后6h疼痛指数、手术成功率、并发症、术后盆腔痛发生率及术后妊娠率比较,差异均无统计学意义(P0.05)。免气腹组的肠功能恢复时间、术后24h疼痛指数均小于气腹组,差异有统计学意义(P0.05)。气腹组的术后PCO2高于术前(P0.05)。免气腹组的满意度优于气腹组,住院费用低于气腹组,差异均有统计学意义(P0.05)。结论:免气腹悬吊式单操作孔腹腔镜结扎术创伤小、恢复快、费用低、易操作、疗效确切,是适合广大基层开展推广的结扎术式。
[Abstract]:Objective: to evaluate the clinical value of single-hole laparoscopic ligation without pneumoperitoneum suspension. Methods: the clinical data of 334 patients who underwent tubal ligation in Linyi Maternal and Child Health Hospital from September 2008 to September 2014 were retrospectively analyzed. Among them 210 cases underwent pneumoperitoneum suspension single hole ligation and 124 cases underwent pneumoperitoneal laparoscopic ligation. The relative indexes of each group were compared. Results: there were no significant differences between the two groups in the time of operation, the amount of intraoperative bleeding, the pain index of 6 hours after operation, the success rate of operation, the complication, the incidence of postoperative pelvic pain and the rate of pregnancy after operation (P 0.05). The recovery time of intestinal function in pneumoperitoneum group was lower than that in pneumoperitoneum group at 24 hours after operation, and the difference was statistically significant (P 0.05). PCO 2 in pneumoperitoneum group was higher than that in preoperative group. The satisfaction degree of the pneumoperitoneum group was better than that of the pneumoperitoneum group, and the hospitalization cost was lower than that of the pneumoperitoneum group (P 0.05). Conclusion: single hole laparoscopic ligation without pneumoperitoneum has the advantages of small trauma, quick recovery, low cost, easy operation and accurate curative effect.
【作者单位】：临沂市妇幼保健院;
【基金】：山东省卫生计生委科技计划项目(其他)
【分类号】：R713.54

【参考文献】