首页|妇科急性腹腔内大出血患者行平卧位腹腔镜手术的临床研究

妇科急性腹腔内大出血患者行平卧位腹腔镜手术的临床研究

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目的 分析妇科急性腹腔内大出血患者行平卧位腹腔镜手术的临床效果。方法 选取60例妇科急性腹腔内大出血患者,依据手术方法不同分为平卧位腹腔镜手术组、传统开腹手术组,各30例。比较两组术中术后指标、血常规指标。结果 平卧位腹腔镜手术组患者的盆腹腔积血量少于传统开腹手术组,手术时间、术后首次下床时间、肛门排气时间及置管时间均短于传统开腹手术组(P<0。05)。平卧位腹腔镜手术组患者的红细胞体积(HCT)、红细胞计数(RBC)及血红蛋白(Hb)水平均高于传统开腹手术组(P<0。05)。结论 选择腹腔镜手术治疗的妇科急性腹腔内大出血患者临床创伤较小,患者术后恢复快、痛苦较少,临床效果显著,值得临床推广。
Clinical study of laparoscopic surgery in supine position for acute intra-abdominal hemorrhage in gynecology patients
Objective To analyze the clinical effect of prostrate laparoscopic surgery for acute abdominal hemorrhage in gynecology patients.Methods 60 gynecological patients with acute intra-abdominal hemorrhage were selected and divided into horizontal laparoscopic surgery group and traditional open surgery group according to different surgical methods,with 30 cases each.The intraoperative and postoperative indexes and blood routine indexes were compared between the two groups.Results The peritoneal blood volume of patients in the supine laparoscopic surgery group was lower than that in the traditional laparotomy group,and the operation time,the first time to get out of bed after surgery,the anal exhaust time and the catheterization time were shorter than that in the traditional laparotomy group(P<0.05).The levels of red blood cell volume(HCT),red blood cell count(RBC)and hemoglobin(Hb)in supine laparoscopic surgery group were higher than those in traditional laparotomy group(P<0.05).Conclusion The gynecological patients with acute intra-abdominal hemorrhage treated by laparoscopic surgery have less clinical trauma,quick postoperative recovery and less pain,and the clinical effect is significant,worthy of clinical promotion.

Gynecological diseasesAcute abdominal hemorrhageLaparoscopy

邵巧梅

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泗阳医院 妇科,江苏 宿迁 223700

妇科疾病 急性腹腔内大出血 腹腔镜检查

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(18)