探讨单针腹壁皮下悬吊法免气腹腹腔镜与气腹腹腔镜手术治疗卵巢良性囊肿临床效果观察.docVIP

探讨单针腹壁皮下悬吊法免气腹腹腔镜与气腹腹腔镜手术 治疗卵巢良性囊肿临床效果观察 黑龙江省龙江县龙江镇卫生院161100 目的研究分析单针腹壁皮下悬吊法免气腹腹腔镜手术(Gasless laparoscopy, GLLS)与气腹腹腔镜手术(laparoscopy, LS)治疗卵巢良性囊肿疗 效及安全性。方法此次研究的对象是选择2012年1月至2014年6月在我院接 受治疗的卵巢良性囊肿患者96例，将其临床资料进行回顾性分析，并随机分为 观察组和对照组，各48例。观察组采用GLLS术；对照组接受常规气腹下LS手 术。观察两组患者手术时间、术屮失血量、术后肠道功能恢复时间、围术期收缩 压、舒张压、平均血压及术后并发症发生情况。结果观察组手术时间、术中失 血量、术后肠道功能恢复时间与对照组比较，差异无统计学意义(Pgt;0?05)； 术前两组SBP、DBP和MAP相比，差异无统计学意义，术中观察组SBP、DBP、 MAP明显低于对照组(Plt;0.05)；对照组并发症率为16.7% (8/48),观察组为 2.1% (1/48 ),差异具有统计学意义(Plt;0.05)o结论GLLS 2.1% (1/48 ), 肿对患者血压影响小，且安全可靠。 关键词免气腹腹腔镜手术；卵巢良性囊肿 [Abstract] Objective treatment of benign ovarian cysts clinical efficacy and safety of single needle abdominal wall subcutaneous suspension method analysis of gasless laparoscopic surgery (Gasless laparoscopy, GLLS) and gasless laparoscopic surgery(laparoscopy, LS). Methods the research object is to choose a 2012 January to June 2014 in our hospital received 96 cases of treatment of benign ovarian cyst patients, their clinical data were retrospective analysis, and randomly divided into observation group and control group, 48 cases in each. The observation group was treated with GLLS operation； the control group received conventional pneumoperitoneum under LS operation. The operation time, blood loss， postoperative intestinal function recovery time, perioperative systolic pressure, diastolic blood pressure, mean blood pressure and postoperative complications of the two groups were observed. Results the operative time, blood loss, postoperative intestinal function recovery time and compared to that of the control group were observed, the differenee was not statistically significant (P gt; 0.05) . Compared to the preoperative SBP, DBP and map, the differenee was not statistically sign讦icant, intraoperative observation group, SBP, DBP, map was significantly lower than the control group(P lt; 0.05)； the control group complication rate was 16.7%(8 /48), the observation group was 2.1% (1/48), the differenee is statistically sigrdfican