本文選題：婦科微創(chuàng)手術(shù) + 盆腹腔手術(shù)史��； 參考：《中國婦幼保健》2017年14期

【摘要】：目的評價分析盆腹腔手術(shù)史對婦科微創(chuàng)手術(shù)治療效果的影響。方法選取2015年2月-2016年2月該院收治的婦科微創(chuàng)手術(shù)患者180例,其中既往有盆腹腔手術(shù)史者42例(觀察組),既往無盆腹腔手術(shù)史者138例(對照組),回顧性分析患者的臨床資料,討論盆腹腔手術(shù)史對婦科微創(chuàng)手術(shù)治療效果的影響。結(jié)果觀察組患者盆腹腔粘連率(52.38%)高于對照組(9.42%),差異有統(tǒng)計學(xué)意義(P0.05);兩組患者盆腹腔粘連程度及手術(shù)指標比較,差異無統(tǒng)計學(xué)意義(P0.05);婦科、產(chǎn)科、外科、混合等不同手術(shù)原因粘連發(fā)生率及粘連程度比較,差異有統(tǒng)計學(xué)意義(P0.05);兩組手術(shù)指標比較,差異無統(tǒng)計學(xué)意義(P0.05);微創(chuàng)手術(shù)粘連率較開腹手術(shù)更低(P0.05);兩組患者粘連程度、手術(shù)指標比較,差異無統(tǒng)計學(xué)意義(P0.05);既往僅1次盆腹腔手術(shù)史患者粘連率低于多次手術(shù)史者,粘連程度、手術(shù)指標比較,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論既往有盆腹腔手術(shù)史患者可安全實施婦科微創(chuàng)手術(shù),但術(shù)前應(yīng)仔細檢查,預(yù)判粘連部位,選擇合適的穿刺位置,熟練掌握手術(shù)操作技巧,減少手術(shù)損傷和風(fēng)險,提高治療效果。
[Abstract]:Objective to evaluate the effect of pelvic abdominal surgery on gynecological minimally invasive surgery. Methods from February 2015 to February 2016, 180 patients with gynecological minimally invasive surgery were selected, 42 of them had history of pelvic and abdominal surgery (observation group, 138 cases without pelvic abdominal surgery) (control group, clinical data were retrospectively analyzed. To discuss the effect of pelvic and abdominal surgery history on gynecological minimally invasive operation. Results the rate of pelvic celiac adhesion in the observation group was higher than that in the control group (P 0.05), there was no significant difference between the two groups in the degree of pelvic and abdominal cavity adhesion and the surgical index (P 0.05), gynecology, obstetrics, surgery, gynecology, obstetrics and surgery. There were significant differences in the incidence of adhesion and the degree of adhesion between the two groups, there was no significant difference between the two groups (P 0.05), the rate of adhesion in minimally invasive surgery was lower than that in the open surgery (P 0.05), the degree of adhesion between the two groups was lower than that in the open surgery. There was no significant difference in surgical indexes (P 0.05), but the rate of adhesion was lower in patients with previous pelvic and abdominal surgery than that in patients with multiple operations. There was a significant difference in the degree of adhesion and the operative indexes (P 0.05). Conclusion patients with previous history of pelvic and abdominal surgery can safely perform gynecological minimally invasive surgery, but careful examination, predetermination of adhesion site, selection of appropriate puncture location, skilled mastery of operative techniques and reduction of surgical injury and risk should be performed before operation. Improve the therapeutic effect.
【作者單位】： 佛山市南海區(qū)第七人民醫(yī)院婦產(chǎn)科;
【分類號】：R713

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