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目的探讨腹腔镜在妇科急腹症中的应用效果。方法 200例妇科急腹症患者,将其按照手术方法的不同分为观察组(120例)和对照组(80例),对照组采用常规开腹治疗,观察组采用腹腔镜治疗,比较两组的手术效果。结果两组的手术成功率均为100%,差异无统计学意义(P>0.05)。观察组的手术时间、术中出血量少于对照组,术后肛门排气时间、下床活动时间、住院时间短于对照组,术后疼痛评分低于对照组,使用镇痛剂的例数少于对照组,差异有统计学意义(P<0.05)。结论腹腔镜治疗妇科急腹症创伤小、术后恢复快,是较为理想的治疗方法。
Objective To investigate the effect of laparoscopy in gynecological acute abdomen. Methods A total of 200 patients with gynecologic acute abdomen were divided into observation group (120 cases) and control group (80 cases) according to different surgical methods. The control group was treated by conventional laparotomy and the observation group by laparoscopy. The surgical results. Results The success rate of operation in both groups was 100%, the difference was not statistically significant (P> 0.05). The observation group had less operation time, less blood loss during operation, shorter anus exhaust time, ambulation time and shorter hospital stay than the control group. The postoperative pain score was lower than that of the control group. The number of analgesics Less than the control group, the difference was statistically significant (P <0.05). Conclusions Laparoscopic treatment of gynecologic acute abdomen trauma, fast recovery after surgery is an ideal treatment.