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目的:总结妇产科患者行腹腔镜手术的方法,分析手术效果与预后情况。方法:选取2012年2月~2013年2月之间于我院行腹腔镜手术的妇产科患者70例,回顾性分析其临床资料。结果:患者的手术方式为:卵巢囊肿切除术41例,子宫肌瘤切除术11例,输卵管妊娠手术5例,子宫切除术5例,子宫附件切除术5例,腹腔镜探查术3例。全部患者均顺利完成手术,无术中转开腹者。术后所有患者的腹壁切口均良好愈合,留置导尿管6~24h,常规使用抗生素3~5d,住院时间3~11d。术后并发症发生率为5.7%,实行对症处理后1~2d内症状消失,70例患者均治愈出院。结论:腹腔镜手术具有创伤小、出血量少、恢复时间短、安全性高、并发症少等优点,在用其治疗妇科疾病时,临床医生应把握好其临床适应症,熟练操作,促进患者早日康复。
Objective: To summarize the methods of laparoscopic surgery in obstetrics and gynecology patients and analyze the effect and prognosis of the surgery. Methods: Seventy patients with obstetrics and gynecology undergoing laparoscopic surgery in our hospital from February 2012 to February 2013 were retrospectively analyzed. Results: The operation of the patients was: 41 cases of ovarian cyst excision, 11 cases of myomectomy, 5 cases of tubal pregnancy, 5 cases of hysterectomy, 5 cases of uterine attachment resection and 3 cases of laparoscopy. All patients were successfully completed surgery, no surgery transfer to open those who. All patients underwent abdominal incision healed well, indwelling catheter 6 ~ 24h, routine use of antibiotics 3 ~ 5d, hospital stay 3 ~ 11d. The incidence of postoperative complications was 5.7%. Symptoms disappeared within 1-2 days after symptomatic treatment and 70 patients were cured. Conclusion: Laparoscopic surgery with less trauma, less bleeding, short recovery time, high safety, fewer complications, etc., in the treatment of gynecological diseases, clinicians should grasp their clinical indications, skilled operation, and promote patients get well soon.