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目的:探讨腹腔镜手术和开腹手术治疗盆腔炎性包块的临床效果。方法:选取我院2012年1月-2013年7月因盆腔炎性包块而行手术治疗患者68例,其中34例行腹腔镜手术,34例行开腹手术。比较其住院天数、疾病种类、手术和术后恢复情况。结果:腹腔镜手术和开腹手术相比较,两组手术时间及所用抗生素种类、剂量、时间差异无显著性(P>0.05)。腹腔镜手术组术中出血量少于开腹组;术后排气时间、体温恢复到正常时间、血象恢复时间、住院时间均短于开腹手术组,差异有显著性(P<0.05)。结论:腹腔镜手术治疗盆腔炎性包块明显优于开腹手术,具有较好的临床应用价值。
Objective: To investigate the clinical effect of laparoscopic surgery and laparotomy for pelvic inflammatory mass. Methods: A total of 68 patients with pelvic inflammatory mass were selected from January 2012 to July 2013 in our hospital. Among them, 34 patients underwent laparoscopic surgery and 34 underwent laparotomy. The length of hospital stay, type of disease, surgery and postoperative recovery were compared. Results: Compared with laparotomy, laparoscopic surgery and laparotomy showed no significant difference in the operation time, antibiotic type, dosage and time between the two groups (P> 0.05). Laparoscopic surgery group bleeding less than the open group; postoperative exhaust time, body temperature returned to normal time, blood recovery time, hospitalization were shorter than the open surgery group, the difference was significant (P <0.05). Conclusion: Laparoscopic surgery for pelvic inflammatory mass is superior to laparotomy and has good clinical value.