腹腔镜电凝结扎术和开腹结扎术的疗效比较.pdfVIP

临历与实践 Linchuangyush…an 《中国医学创新》第10卷第28期(总第274J~)2013年10月 腹腔镜电凝结扎术和开腹结扎术的疗效比较 陈士花① 【摘要 】 目的：探讨腹腔镜电凝输卵管结扎术与开腹输卵管结扎术的临床效果与安全性。方法：选取本院2011年行输卵管结扎绝育手 术的患者64例，根据治疗方法的不同随机平均分为两组，分别行腹腔镜输卵管电凝与开腹输卵管结扎手术，统计两组患者的手术情况与随 访结果。结果：腹腔镜组患者手术时间、术中出血量 、术后镇痛药物使用 、术后发热以及住院时间均优于开腹组 (PO．05)，术后随访 (14．8±6．9)个月，腹腔镜组的切口疼痛、切口感染、慢性盆腔痛发生率、手术失败率均明显低于开腹组，比较差异均有统计学意义 (PO．05o 结论：腹腔镜输卵管电凝结扎绝育手术具有手术创伤小、恢复时间短、并发症较少且绝育效果显著提高的优点，适合在计划生育手术中推 广应用。 【关键词 】腹腔镜电凝结扎术 ； 开腹结扎术 EffectComparisonbetweenLaparoscopicElectrocoagulationLigationandOpenLigation／CHEN Shi-huaJ／M edicalInnovationofChina， 2013．10(28)：028—030 【Abstract】Objective：Toobservetheclinicaleffectandsafetyoflaparoscopicelectrocoagulationtuballigationandopentuballigation．Method： 64patientsreceivedtuballigationinourhospitalin2011wereselectedanddividedintotwogroupsaccordingtodifferenttreatmentmethods．Twogroups receivedlaparoscopieelectroeoagulationtuballigationandopenligationrespectively．Andthesurgical situationandofnow-upresultoftwogroupswere analyzed．Result：Theoperationtime，bleedingvolumeinoperation，analgesicsapplicationafteroperation，postoperativefeverandlengthofstayofthe patientsreceivedlaparoscopicelectrocoagulationligationwerebetterthanthoseofthepatientsreceivedopenligation (PO．05)．Afterfollowingupfor (14．8±6．9)months，incisionpain，incisioninfection，theincidencerateofchronicpelvicpainandfailurerateofoperationofthepatientsreceiving laparoscopieelectrocoagulationligationwerelowerevidently，therewerestatisticallysignificantdifferences(PO．05)．Conclusion：Laparoscopic electrocoagulati0ntuballigationhastheadvantagesofsmallsurgicaltrauma，shortrecoverytime，lesscomplicationsandevidentimprovementof sterilisationeffect，whichispromotedandappliedtofamilyplnaningoperation． 【Keywords】Laparoseopieelectroeoagulationligation； Openligation First-author’Saddress：TheTraditionalChineseMedicineHospitalofPizhou，Pizhou221300，China doi：10．3969~．issn．1674--4985．2013．28．011 绝育手