摘要
目的探讨基层医院开展腹腔镜手术在基层医院的临床应用价值。方法2004年~2007年对300例腹腔镜手术患者采用硬膜外阻滞麻醉;胆囊病变术式为胆囊切除术;阑尾炎术式为阑尾切除术;肾囊肿术式为腹腔镜肾囊肿去顶术;小儿疝术式为疝囊高位结扎术;异位妊娠术式为输卵管切除、输卵管伞端取胚术及输卵管造口术;卵巢囊肿手术采用剔除术、剥除术及患侧附件切除术;子宫浆膜下肌瘤采用子宫肌瘤剔除术;主要器械为单双极电凝。结果腹腔镜手术占同期外科手术的60.75%、妇产科手术的40.45%,手术成功率99.3%,发生并发症3例(1%)。结论适应证掌握得当,外科、妇产科部分手术可在腹腔镜下完成。本院多采用硬膜外麻醉方式,不仅节省了人力、物力、资源,而且可以降低医疗费用,并取得相同效果。该研究项目安全、快速、易于操作且医疗经费投入少,适用于基层医院应用。
Objective To explore the value of laparoscopic operation in the primary hospital. Methods From 2004 to 2007,300 patients with benign surgical and gynecologic diseases were successfully treated by laparoscope with major intraoperative or postoperative complications, patients with cholecyst underwent laparoscopic cholecystectomy, laparocopic cholecystectomy were performed for appenddicitis, laparosscopic appendary were performed, for renal cyst, laparosscopic unroofing of cyst of kidney were performed for child hernia, high ligation of hernial sac were performed, patients with ectopic pregnancy underwent laparoscopic salpingotomy, salpingectomy or embryo removed fromfimbria, for o- varian cyst, oophorocystectomy and adnexect'omy were performed for subserous myoma, hyster- ctomy were performed; All of these operations were performed with general anesthesia.Results 60.75% surgery operations and 40.45% gynecologic operations in our hospitial were performed by laparoscopications,with the success rate of 99.3%.Three cases showed complications, the complication rate being 1%.Conclusion These results suggest that laparocologic operation is safe and feasible in treating most surgery gynecologic disease if the indications are well selected. This hospital adopts epidural anesthesia, not only saving manpower, material resources, resources, but also lessening medical treatment expenses, and obtain the same result. This study item is safety, fast, easy to operation and less medical treatment budget devotion. Which was fit for primary hospital application.
出处
《基层医学论坛》
2007年第12期1078-1081,共4页
The Medical Forum
关键词
腹腔镜
外科手术
妇科手术
硬膜外阻滞
基层医院
Laparoscopy Surgery Gynecologic surgery Epidural block Primary Hospital