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目的对比腹腔镜与开腹手术在妇科急腹症患者中的应用效果。方法将128例妇科急腹症患者随机分为试验组和对照组各64例。试验组予腹腔镜手术治疗,对照组予常规开腹手术治疗。对比观察2组患者各项术中指标、术后指标及安全性。结果试验组患者的各项术中指标、术后指标均显著优于对照组,差异均有统计学意义(P<0.05)。予以不同手术方案后,试验组患者的并发症发生率为1.56%(1/64)显著低于对照组的17.19%(11/64),差异有统计学意义(P<0.05)。结论临床治疗妇科急腹症患者的过程中,腹腔镜治疗可显著改善患者的各项术中及术后的临床指标,加速患者的康复,具有较好的安全性,应广泛推广。
Objective To compare the effect of laparoscopy and laparotomy in gynecologic acute abdomen. Methods A total of 128 patients with gynecologic acute abdomen were randomly divided into experimental group and control group with 64 cases each. The experimental group was treated with laparoscopic surgery and the control group with conventional laparotomy. The two groups of patients were compared in the intraoperative indicators, postoperative indicators and safety. Results All the intraoperative and postoperative indexes in the experimental group were significantly better than those in the control group, with significant differences (P <0.05). Complications after operation were 1.56% (1/64) in the experimental group and 17.19% (11/64) in the control group, respectively. The difference was statistically significant (P <0.05). Conclusions During the clinical treatment of patients with gynecologic acute abdomen, laparoscopic treatment can significantly improve the intraoperative and postoperative clinical indicators of patients, accelerate the recovery of patients with good safety and should be widely promoted.