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目的:研究免气腹与气腹腹腔镜在子宫切除术中的应用。方法:79例接受腹腔镜辅助阴式子宫切除术患者随机分为免气腹组(40例)和气腹组(39例),分别采用免气腹腹腔镜和气腹腹腔镜辅助阴式子宫切除术,比较两组手术时间及术中出血量、血气分析、切除子宫重量、肠功能恢复时间、术后住院时间、治疗总费用和术后并发症。结果:免气腹组的手术时间、术中出血量和PaCO2都明显小于气腹组(P<0.05);在肠功能恢复时间、术后住院时间及治疗费用方面,免气腹组均明显优于气腹组(P<0.05)。结论:相较于气腹腹腔镜手术,免气腹腹腔镜手术具有手术时间短、术中出血少、肠功能恢复较快、治疗费用低廉等优势,且其适应证更广,安全性更高,值得在妇科临床推广使用。
Objective: To study the application of pneumoperitoneum and pneumoperitoneal laparoscopy in hysterectomy. Methods: A total of 79 patients undergoing laparoscopic assisted vaginal hysterectomy were randomly divided into a gas-free group (40 cases) and a pneumoperitoneum group (39 cases). Gas-free laparoscopy and pneumoperitoneal laparoscopic-assisted vaginal hysterectomy The operation time and intraoperative blood loss, blood gas analysis, uterine weight removal, intestinal function recovery time, postoperative hospital stay, total cost of treatment and postoperative complications were compared between the two groups. Results: The operation time, intraoperative blood loss and PaCO2 in the pneumoperitoneum group were significantly less than those in the pneumoperitoneum group (P <0.05). The pneumoperitoneum group was significantly superior to the pneumoperitoneum group in the recovery of intestinal function time, postoperative hospital stay and treatment costs In the pneumoperitoneum group (P <0.05). Conclusion: Compared with pneumoperitoneal laparoscopic surgery, laparoscopic pneumoperitoneum laparoscopic surgery has the advantages of shorter operation time, less intraoperative bleeding, faster recovery of intestinal function, lower cost of treatment and more indications and higher safety , It is worth to promote the use of gynecological clinic.