摘要
目的探讨多学科联合腹腔镜手术的临床特点和应用前景。方法选择因妇科疾病合并普外科、泌尿外科疾病而需行多学科联合腹腔镜手术的患者46例作为观察组,选取同期因单一妇科疾病行腹腔镜手术的患者40例为对照组,对两组患者的术后并发症发生情况、平均手术时间、肠功能恢复时间和术后平均住院日等指标进行分析比较。结果两组患者手术均获得成功,无一例中转开腹,也无一例严重并发症发生。观察组的平均手术时间为(127±91)min,对照组的平均手术时间为(100±80)min,两组比较,差异有显著性(P<005);观察组的术后肠功能恢复时间及术后平均住院日分别为(20±10)h及(37±15)d,对照组分别为(19±10)h及(35±13)d,两组比较,差异均无显著性(P>005)。结论多学科联合腹腔镜手术是安全有效的,且在一定程度上拓宽了妇科手术的领域,具有广阔的临床应用前景。
Objective To investigate the clinic characteristics and efficacy of combined multi disciplinary laparoscopic surgery Methods Combined laparoscopic surgery was performed in 46 gynecological patients who concomitantly had gastrointestinal and urinary tract diseases as study group, and single gynecologic laparoscopic surgery in 40 patients as control group The complications and mean time of operations, bowel function restoration, and hospitalization length were observed Results The surgery of every patient was successful None of the cases was transferred to open laparotomy No complications occurred The mean time of operations was significantly increased in study group(127±91)min compared with control group(100±80) min( P <0 05) The recovery time of bowel function, as well as the mean time of hospitalization was not different between study group(20±10)h, (3 7±1 5)d and control group(19±10)h, (3 5±1 3)d(both P >0 05) Conclusions Combined multi disciplinary laparoscopic surgery can be performed safely and effectively for gynecological patients complicated with gastrointestinal or urinary tract diseases
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2004年第10期690-692,共3页
Chinese Journal of Obstetrics and Gynecology
