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目的探讨脐孔开放性并腹壁悬吊式腹腔镜在妇科手术中的实用性及优点。方法腹壁皮下单点悬吊结合应用脐孔开放性进第一穿刺孔行无气腹腹腔镜妇科手术108例,与102例有气腹腹腔镜手术作对照,比较分析两种术式的手术时间、术中出血量、术后住院时间、术后并发症和麻醉前、术中血气分析、心率、平均动脉压等。结果两组手术时间、术后肠功能恢复、血气分析、心率、平均动脉压等差异均有统计学意义(P<0.05),平均出血量、术后住院时间两组差异均无统计学意义(P>0.05)。结论在妇科手术应用脐孔开放性并腹壁悬吊式腹腔镜安全、实用,值得推广。
Objective To investigate the practicability and advantages of open umbilicus and abdominal hanging laparoscopy in gynecological surgery. Methods A total of 108 cases without pneumoperitoneal laparoscopic gynecological surgery under the abdominal wall single point suspension combined with the opening of the umbilicus into the first puncture hole were compared with 102 cases with pneumoperitoneal laparoscopic operation. The operative time , Intraoperative blood loss, postoperative hospital stay, postoperative complications and before anesthesia, intraoperative blood gas analysis, heart rate, mean arterial pressure and so on. Results There were significant differences between the two groups in operation time, recovery of intestinal function, blood gas analysis, heart rate and mean arterial pressure (P <0.05). There was no significant difference between the two groups in mean blood loss and postoperative hospital stay P> 0.05). Conclusion The application of open umbilicus and abdominal hanging laparoscopic gynecological surgery safe and practical, it is worth promoting.