摘要
目的 探讨腹腔镜手术在妇科急诊中的应用。 方法 回顾分析我院 1997年 5月～ 2 0 0 1年 8月 145例妇科急诊腹腔镜手术 ,并将 145例中 10 0例输卵管妊娠腹腔镜手术 (腹腔镜组 )与我院 1994年 1月～ 1997年 4月 89例开腹输卵管妊娠手术 (开腹组 )进行比较。 结果 145例妇科急诊腹腔镜手术中 ,139例 ( 95 9% )顺利完成手术 ,6例中转开腹。腹腔镜组输卵管开窗术与开腹组相比较 ,手术时间明显延长 (t=3 9,P =0 0 0 0 ) ,术中出血量明显增量 (t=5 81,P =0 0 0 0 )。 结论 腹腔镜手术在妇科急诊中有诊断和治疗双重作用 ,是一种安全、可靠的治疗方法 ,但是急诊腹腔镜手术最好选择输卵管切除。
Objective To investigate the clinical significance of laparoscopic operations in gynecologic emergency. Methods We retrospectively analyzed 145 cases of gynecologic emergency dealt with laparoscopic operations in May 1997～August 2001. Out of the 145 cases, tubal pregnancy accounted for 100 cases (Laparoscopy Group), which were further compared with 89 cases of tubal pregnancy in January 1994～April 1997 treated by open operations (Open Group). Results Out of the 145 operations, 139 (95.9%) were successfully carried out under laparoscope, with the conversion to open operations in 6 cases. There were 61 cases of salpingectomy, 28 cases of oviduct fenestration, 11 of fenestration converting into salpingectomy, 16 of partial ovariectomy, 8 of adnexectomy for ovarian cyst pediculotorsion, 4 of cyst resection, 3 for rupture of endometrial cyst of ovary, 6 for pelvic abscess and 2 for pelvic encapsulated fluid. Compared with the Open Group, the Laparoscopy Group had longer length of surgical intervention (t=3.9, P=0.000) and more intraoperative blood loss (t=5.8, P=0.000). Conclusions Laparoscopic operations play double actions both in diagnosis and in treatment for most gynecologic emergencies, being a safe and reliable approach. Laparoscopic salpingectomy (non-oviduct-sparing operations), however, should be chosen for urgent patients.
出处
《中国微创外科杂志》
CSCD
2003年第2期116-117,124,共3页
Chinese Journal of Minimally Invasive Surgery
