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目的观察腹腔镜在妇科危急症治疗中的临床疗效。方法对景宁县人民医院260例行腹腔镜术的妇科危急症患者的临床资料进行系统分析、研究及归纳。结果 260例腹腔镜术患者中,宫外孕223例,手术时间(41±22)min,术中出血量为(24±8)ml;盆腔炎症性疾病24例,手术时间为(68±9)min,术中出血量为(83±10)ml;卵巢黄体破裂4例,手术所需时间(50±13)min,术中出血量为(57±7)ml;畸胎瘤5例,手术时间(56±17)min,术中出血量为(61±12)ml;卵巢囊肿蒂扭转4例,手术时间(53±8)min,术中出血量为(59±9)ml;手术以后260例均没有实施镇痛措施,体温监测均正常,有2例患者拆线时有少许积液,经过处理后恢复正常;患者住院时间为3～7 d,平均5 d;院外随访1～3年,均未发生并发症。结论在妇科急症患者治疗中,运用腹腔镜术不仅疗效显著,而且更快、更安全。
Objective To observe the clinical efficacy of laparoscopy in gynecological emergency treatment. Methods The clinical data of 260 cases of gynecological emergency patients undergoing laparoscopy in Jingning People’s Hospital were systematically analyzed, studied and summarized. Results Among the 260 cases of laparoscopic surgery, 223 cases were ectopic pregnancy, the operation time was (41 ± 22) min, the blood loss was (24 ± 8) ml; 24 cases of pelvic inflammatory disease, the operation time was (68 ± 9) min , Blood loss was (83 ± 10) ml; 4 cases of ovarian luteal rupture, the time required for surgery (50 ± 13) min, intraoperative blood loss was (57 ± 7) ml; teratoma in 5 cases, operation time (56 ± 17) min, blood loss was (61 ± 12) ml, ovarian cyst torsion in 4 cases, operation time (53 ± 8) min, intraoperative blood loss was (59 ± 9) ml; No cases of analgesic measures were implemented, the body temperature monitoring were normal, there were 2 patients stitches a little fluid, after treatment returned to normal; patients hospitalized for 3 ~ 7 d, an average of 5 d; hospital follow-up of 1 to 3 years , No complications occurred. Conclusion In the treatment of gynecological emergency patients, the use of laparoscopic surgery is not only significant, but also faster and more secure.