腹腔镜在妇科急腹症中的应用分析word格式论文.docxVIP

优秀毕业论文 精品参考文献资料 摘 要 腹腔镜在妇科急腹症中的应用研究 研究生：王玲 导师：马彩玲 教授 摘 要 目的：探讨腹腔镜技术在诊治妇科急腹症中的应用价值。方法：对我院2008年9 月~2009年8月期间收治的235例妇科急腹症手术患者的临床资料进行回顾性分析。针 对不同的疾病采用相应的手术方式，着重从手术时间、术中出血量、术后住院时间 及预后等方面对腹腔镜与传统开腹手术进行比较。结果：对腹腔镜微创治疗的123例 进行分析，并选取同期112例开腹术病例资料作为对照。其中腹腔镜组97例异位妊娠、 5例卵巢囊肿破裂、15例急性盆腔炎、6例卵巢囊肿蒂扭转，120例成功进行腹腔镜手 术治疗，中转开腹3例。腹腔镜组与开腹组比较，手术时间、术中出血量、抗生素联 合使用情况、镇痛剂使用次数和住院时间均有统计学意义（P0.05）。结论：1．在 处理妇科急腹症疾病时，腹腔镜???术优于开腹手术，是妇科急腹症疾病治疗上的发 展方向。2．间质部妊娠、宫角妊娠、低血流量休克型异位妊娠及有下腹部手术史的 患者，应视患者具体情况及术者的手术熟练程度等情况而定，而并非腹腔镜绝对禁 忌证。3．急性盆腔炎年轻生育期未孕的患者适当放宽手术指证，适时行腹腔镜，可 能减轻粘连，对以后生育有利。 关键词：急腹症；妇科学；腹腔镜 新疆医科大学医学硕士学位论文 Applicable Research of Laparoscope in Acute Abdomen of Gynecology Postgraduate: Wang ling Supervisor: Ma cailing professor Abstract Objective: To research the applicable value in acute abdomen of gynecology during the diagnosis and treatment of laparoscope. Methods: We retrospectively analyzed the clinical data of 235 patients, who were operatively cured in the First Affiliated Hospital of Xinjiang Medical University from September 2008 to August 2009，with acute abdomen of gynecology.We compare laparoscopic operation with conservative celiotomy, emphasized on these aspects of the operative time and blood loss ,postoperation left hospical etc. Results: We analyzed 123 cases performed with laparoscopic cure,and chose the same period of 112 cases with abdominal operation as the control group. In the laparoscopy group,there were 97 patients of ectopic pregnancy, 15 patients of acute pelvic inflammation, 6 patients of ovarian cyst torsion, 5 patients of ruptured corpus luteum cyst and ovarian cyst rupture.It is successful to be performed almost all cases with Operative laparoscope except 3 cases.We compared two group ,and conclude that there were significant differences in operative time,blood loss, the allied use of antibiotic,the frequency of paregoric apply , and postoperation left hospital. Conclusions : 1. Laparoscopic operation is superior than laparotomy in the treatment of acute abdomen and the orient