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目的:探讨腹腔镜在未婚妇女妇科疾病中的应用方法:对2007年10月至2010年10月在我院收治未婚妇女妇科疾病58例行腹腔镜手术(观察组),58例行已婚妇女妇科疾病腹腔镜手术(对照组),观察平均手术时间、术中出血量、及术后并发症等结果。结果:观察组及对照组均完成腹腔镜手术,无一例中转开腹。两组在手术时间、出血量、住院天数及肛门排气时间无显著差异、术后下床活动时间、术后皮下气肿及术后肩部酸胀差异无显著性(P>0.05)。结论:只要术前及术中对手术困难进行充分评估,合理选择穿刺孔,未婚妇女腹腔镜手术是可行的,且创伤小、恢复快。
Objective: To investigate the application of laparoscopy in gynecological diseases of unmarried women.Methods: From March 2007 to October 2010, 58 cases of gynecological diseases of unmarried women underwent laparoscopic surgery (observation group), 58 married women Gynecological diseases, laparoscopic surgery (control group), observation of the average operation time, intraoperative blood loss, and postoperative complications and other results. Results: The observation group and the control group were completed laparoscopic surgery, no case of conversion to laparotomy. There was no significant difference between the two groups in operation time, blood loss, length of hospital stay and anal exhaust time, postoperative ambulation time, postoperative subcutaneous emphysema and postoperative shoulder soreness difference was not significant (P> 0.05). Conclusion: Laparoscopic surgery of unmarried women is feasible as long as the operation difficulty is fully evaluated preoperatively and intraoperatively, and less trauma and faster recovery.