免气腹单孔腹腔镜治疗妊娠合并卵巢囊肿的随机对照研究

被引：29

作者：

任月芳

杜英

万择秋

吴丽芳

颜伟

机构：

[1] 浙江湖州市妇幼保健院

来源：

中国内镜杂志 | 2014年 / 10期

关键词：

免气腹腹腔镜; 开腹手术; 卵巢囊肿剔除; 单孔腹腔镜; 妊娠;

D O I：

暂无

中图分类号：

R713 [妇科手术];

学科分类号：

100211 ;

摘要：

目的评价免气腹单孔腹腔镜治疗妊娠合并卵巢囊肿的临床效果。方法 45例需手术的妊娠合并卵巢囊肿患者随机分成免气腹腹腔镜组(23例)和开腹组(22例)。比较两组术中出血、手术时间、术后疼痛评分、术后镇痛剂使用、术后肛门排气时间、住院时间、术后发热和术后切口感染等方面的差异。结果术中出血和术后切口感染两组差异无显著性(P>0.05),与开腹组相比,免气腹腹腔镜组的手术时间短且术后发热少(P<0.05),术后疼痛轻、术后镇痛剂使用少、术后肛门排气恢复快和住院时间短(P<0.01)。结论免气腹单孔腹腔镜治疗妊娠合并卵巢囊肿具有疼痛轻、恢复快、并发症少、住院时间短且腹壁切口更小等优点,是一种安全有效的治疗选择,适合具备熟练腹腔镜操作技术的单位推广。

引用

页码：1042 / 1045

页数：4

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