腹腔镜在妇科急腹症诊治中的应用

目的探讨腹腔镜手术在妇科急腹症诊治中的应用价值。方法回顾分析应用腹腔镜诊断和治疗妇科急腹症353例(A组)的临床资料,并与同期开腹手术297例(B组)比较,分析腹腔镜手术应用于妇科急腹症的应用价值。结果 A组353例顺利完成手术,包括异位妊娠286例,黄体破裂29例,巧克力囊肿破裂18例,卵巢囊肿蒂扭转12例,盆腔炎性疾病8例;中转开腹3例,未出现并发症。与B组比较,A组的手术时间短、术中出血量少、术后疼痛程度轻、肠道功能恢复早、住院时间短,无切口感染病例。结论腹腔镜技术应用于妇科急腹症创伤小,在可明确诊断的同时,又能实施治疗。

Application of laparoscopy in the diagnosis and treatment of gynecological acute abdomen

Objective To investigate the role of laparoscopy in the diagnosis and treatment of gynecological acute abdomen. Methods Data of 353 patients(group A) with gynecological acute abdomen underwent laparoscopy were analyzed retrospectively.The results were compared to those in 297 patients(group B) with gynecological acute abdomen underwent open surgery. Results The diagnosis and surgery in group A were successfully performed,which included ectopic pregnancy in 286 cases,corpus luteum rupture in 29 cases,chocolate cyst burst in 18 cases,ovarian cyst Wendy turn in 12 cases,and pelvic inflammatory disease in 8 cases.Laparoscopy in group A had to be changed to open surgery in 3 cases.Compared to group B,laparoscopic surgery for gynecological acute abdomen had the advantages of shorter operation time,less blood loss and postoperative pain,early recovery of bowel function,and shorter hospital stay. Conclusion Compared to open operation,laparoscopic surgery for gynecological acute abdomen has minimal injury,and the diagnosis and surgery can be carried out simultaneously.