资源描述：
《腹腔镜治疗妇科急腹症临床应用分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、腹腔镜治疗妇科急腹症临床应用分析［摘要］目的探讨腹腔镜治疗妇科急腹症的临床疗效。方法回顾性分析整群选取的2011年1月一2014年12月该院收治的84例妇科急腹症患者临床资料，随机分成观察组和对照组各42例，观察组行腹腔镜手术治疗，对照组行传统开腹手术治疗，观察两组患者手术时间、术中出血量、术后住院时间、术后镇痛剂使用例数。结果两组均顺利完成手术，观察组手术时间(62.4±12・6)min低于对照组(90.4±24.3)min,术屮出血量(37.2±8.5)mL少于对照组(73.5±14,7)mL,术后住院时间(4.6±1.3)
2、d少于对照组(8.7±2.3)d,术后镇痛剂使用例数观察组有3例,对照组有31例，差异有统计学意义(P〈0.05)。结论腹腔镜治疗妇科急腹症，损伤小、痛苦少、恢复快，对抢救患者生命和术后恢复有重要意义。［关键词］腹腔镜；妇科；急腹症［中图分类号］R713［文献标识码］A［文章编号］1674-0742(2016)02(a)-0082-03ClinicalApplicationAnalysisofLaparoscopeinTreatmentofGynecologicalAcuteAbdomenJTANGLi-yanObstetric
3、sandGynecologyDepartment,QingyuanManchuAutonomousCountyPeople，sHospital,Fushun,LiaoningProvince,113300China[Abstract]ObjectiveTodiscusstheclinicalcurativeeffectoflaparoscopeintreatmentofgynecologicalacuteabdomen.MethodsTheclinicaldataof84casesofpatientswithgynecologi
4、calacuteabdomentreatedinourhospitalfromJanuary2011toDecember2014wereretrospectivelyanalyzedandrandomlydividedintotwogroupswith42casesineach,theobservationgroupweretreatedwithlaparoscopicoperation,thecontrolgroupweretreatedwithtraditionallaparotomy,theoperationtime,in
5、traoperativebloodloss,postoperativelengthofstayandpostoperativeanalgesicusecaseswereobserved・ResultsBothgroupshadasuccessfuloperation,theoperationtimeintheobservationgroupwasshorterthanthatinthecontrolgroup(62.4+12.6)minvs(90.4+24.3)min,theintraoperativebloodlossinth
6、eobservationgroupwaslowerthanthatinthecontrolgroup,(37.2+8.5)mlvs(73.5±14.7)ml,thepostoperativelengthofstayintheobservationgroupwasshorterthanthatinthecontrolgroup(4.6±1.3)dvs(8.7±2.3)d,andthepostoperativeanalgesicusecaseswere3casesintheobservationgroupand31casesinth
7、econtrolgroup,thediffereneewasstatisticallysignificant(P<0.05)•ConclusionLaparoscopeintreatmentofgynecologicalacuteabdomenhaslessdamage,lesspainandquickrecovery,whichisofimportantsignificancetorescuepatient,slifeandpostoperativerecovery.[Keywords]Laparoscope；Departme
8、ntofgynecology；Acuteabdomen妇科急腹症是指因妇科疾病引起的急性剧烈腹部疼痛，其发病原因复杂，病情进展快，诊断难度大，如果不能及时诊断和治疗可危及患者生命。腹腔镜技术近年来越来越多地应用于妇科急腹症的诊治，其损伤小，痛苦少，恢复快，治疗效
