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目的探讨腹腔镜治疗黄体破裂出血患者的临床价值。方法分析比较我院46例腹腔镜手术和54例剖腹手术治疗黄体破裂出血患者的临床效果。结果 46例急诊腹腔镜手术取得了成功,无需中转开腹手术。两组手术患者相比较,腹腔镜组与剖腹手术组在手术时间上差异无统计学意义(P<0.05),在术后疼痛感、肠功能恢复时间、住院时间上腹腔镜组优于剖腹手术组。结论腹腔镜手术兼有诊断与治疗双重作用,在治疗黄体破裂出血中具有优越性,大大减少了手术创伤导致的盆腔粘连机率,是治疗黄体破裂出血患者的首选手术方法。
Objective To investigate the clinical value of laparoscopic treatment of patients with lumbar rupture hemorrhage. Methods The clinical results of 46 patients undergoing laparoscopic surgery and 54 laparotomy on luteal rupture in our hospital were analyzed. Results 46 cases of emergency laparoscopic surgery was successful, without the need for transit laparotomy. There was no significant difference in operative time between laparoscopic group and laparotomy group (P <0.05), and postoperative pain relief, recovery time of intestinal function and length of hospital stay were superior to those of laparotomy group. Conclusions Both laparoscopic surgery has dual functions of diagnosis and treatment, which has the advantages in the treatment of corpus luteum hemorrhage. It greatly reduces the chance of pelvic adhesions caused by surgical trauma and is the first choice for the treatment of patients with corpus luteum hemorrhage.