腹腔镜技术在女性肥胖患者妇外科疾病联合手术中应用价值.docVIP

腹腔镜技术在女性肥胖患者妇外科疾病联合手术中应用价值 　　【摘要】目的：探讨腹腔镜技术在肥胖女性患者的妇科与外科疾病联合手术中的临床价值。方法：选择我院2009年2月至2013年9月期间106例行腹腔镜手术的女性肥胖患者，将53例妇科疾病合并阑尾炎或者胆囊结石的患者作为观察组，行腹腔镜妇科联合外科手术；将53例妇科疾病患者作为对照组，行单纯腹腔镜妇科手术。对比两组患者的手术时间、术中出血量、肠道通气时间、住院时间和术中、术后的并发症情况。结果：所有患者均顺利完成手术，无中转开腹情况发生；观察组患者的手术时间明显长于对照组，差异具有统计学意义（P0.05）。结论：妇科联合外科疾病手术对于女性肥胖患者安全有效，可拓宽手术领域，具有较高的临床应用价值。 　　【关键词】腹腔镜技术；女性；肥胖；联合手术；子宫切除术；卵巢肿瘤 　　Application of laparoscopic techniques in the combined surgery of female obese patients with gynecological and surgical diseasesLIAO Dan， YOU Gongping， CHEN Sheng. Department of Obstetrics and Gynecology， Hainan Nongken NaDa Hospital， Danzhou 571700， China 　　【Abstract】Objectives： To study on the application value of laparoscopic technology in the combined surgery of female obese patients with gynecological diseases. Methods： 53 female obese patients received laparoscopic gynecologic combined surgical operation in our hospital from February 2009 to September 2013 were selected as observation group， and 53 obese female patients received gynecological laparoscopic operation was selected as control group. The operation time， intraoperative bleeding， intestinal ventilation time， hospitalization time and complication of the two groups were compared. Results： All patients successfully completed operation， without conversion to laparotomy； the operation time of the observation group was significantly higher than that in the control group， with statistically significant difference （P0.05）. Conclusions： Gynecological operation combined with surgical operation is safe and effective for female obese patients， which broadens the field of operation and has high value in clinical application. 　　【Key words】Laparoscopic techniques； Female； Obesity； Joint surgery； Hysterectomy； Ovarian cancer 　　【中图分类号】R167【文献标志码】A 　　随着腹腔镜技术的不断发展进步，越来越多地应用于许多科室，而腹腔镜手术通常以脐孔为视眼，可以全方位的窥视盆腹腔，因此给联合手术的开展提供了有利条件。由于腹腔镜手术具有创伤小、恢复快的特点[1]，因此，对于肥胖患者需要进行联合手术的疾病治疗中日益受到重视。我院近年来对同时患有妇科与外科疾病的女性肥胖患者进行了腹腔镜下的联合手术，取得较好的临床治疗效果，现将结果报道如下。 　　1资料与方法 　　1.1一般资料