腹腔镜手术治疗妇科良性疾病的安全性分析(1)
[摘要] 目的 分析腹腔镜手术治疗妇科良性疾病的安全性。 方法 方便抽取该院于2014年1月—2017年12月收治的152例妇科良性疾病患者为研究对象。所有患者均接受手术治疗。随机分为对照组(76例)和治疗组(76例)2个组别。分别给予两组开腹病灶切除术、腹腔镜下病灶切除术。观察患者的疗效、并发症发生率、住院时间及生活质量变化。 结果 治疗组患者的治疗总有效率98.68%、术后生活质量评分(80.04±4.38)分，均高于对照组治疗总有效率92.11%(χ2=5.06，P<0.05)、术后生活质量评分(75.26±5.28)分(t=5.66，P<0.05)，治疗组并发症发生率1.32%，低于对照组9.21%(χ2=6.04，P<0.05)，治疗组住院时间(6.02±1.15)d，短于对照组(8.92±2.13)d(t=4.38，P<0.05)。结论 腹腔镜手术用于妇科良性疾病的治疗，疗效显著，患者术后恢复快，治疗安全性高，有助于改善患者的生活质量。
[关键词] 腹腔镜手术；开腹手术；子宫肌瘤；感染
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)08(b)-0073-03
Analysis of the Safety of Laparoscopic Surgery for Benign Gynecological Diseases
SHEN Juan
Department of Obstetrics and Gynecology， Institute of Physiology， Zhongda Hospital Affiliated to Southeast University， Nanjing， Jiangsu Province， 211200 China
[Abstract] Objective To analyze the safety of laparoscopic surgery for benign gynecological diseases. Methods 152 patients with benign gynecological diseases who were admitted to the hospital from January 2014 to December 2017 were conveniently selected as the study subjects. All patients were treated surgically. Randomly divided into control group (76 cases) and treatment group (76 cases). Two groups were given open resection and laparoscopic resection. Observe the patient's curative effect， complication rate， hospitalization time and quality of life. Results The total effective rate of treatment was 98.68% in the treatment group and(80.04±4.38)points in the postoperative life， which was higher than 92.11% (χ2=5.06，P<0.05) and the postoperative quality of life score (75.26±5.28)points in the control group(t=5.66，P<0.05). The incidence of complications in the treatment group was 1.32%， which was lower than the control group(9.21%)(χ2=6.04，P<0.05). The length of stay in the treatment group(6.02±1.15)d， shorter than the control group (8.92±2.13)d(t=4.38，P<0.05). Conclusion Laparoscopic surgery is used for the treatment of benign gynecological diseases. The curative effect is significant. The patients recover quickly after surgery and the safety of treatment is high， which helps to improve the patient's quality of life.
[Key words] Laparoscopic surgery； Open surgery； Uterine fibroids； Infection
近年來，由于受到人们生活习惯、饮食结构等因素变化的影响，女性患者妇科良性疾病发病率逐渐升高[1]。手术是临床治疗妇科良性疾病的主要方法[2]。为了评估腹腔镜手术治疗妇科良性疾病患者的安全性，该研究将152例患者作为研究对象，现将2014年1月—2017年12月收治患者的治疗流程及效果分析，现报道如下。
1 资料与方法
1.1 一般资料
方便抽取该院收治的152例妇科良性疾病患者为研究对象。所有患者均接受手术治疗。随机分为对照组(76例)和治疗组(76例)2个组别。纳入标准：①所选病例均经过伦理委员会批准；②患者家属均知情同意；③符合妇科良性疾病诊断标准。排除标准：①排除妇科恶性疾病患者；②排除年龄<20岁或>65岁的患者。对照组年龄22～65岁，平均年龄(46.2±3.3)岁；子宫肌瘤28例，卵巢囊肿23例，宫颈肿瘤19例，其他妇科良性疾病6例。治疗组年龄20～62岁，平均年龄(46.0±3.1)岁；子宫肌瘤30例，卵巢囊肿21例，宫颈肿瘤18例，其他妇科良性疾病7例。两组一般资料比较，差异无统计学意义(P>0.05)。, 百拇医药(沈娟)
[关键词] 腹腔镜手术；开腹手术；子宫肌瘤；感染
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)08(b)-0073-03
Analysis of the Safety of Laparoscopic Surgery for Benign Gynecological Diseases
SHEN Juan
Department of Obstetrics and Gynecology， Institute of Physiology， Zhongda Hospital Affiliated to Southeast University， Nanjing， Jiangsu Province， 211200 China
[Abstract] Objective To analyze the safety of laparoscopic surgery for benign gynecological diseases. Methods 152 patients with benign gynecological diseases who were admitted to the hospital from January 2014 to December 2017 were conveniently selected as the study subjects. All patients were treated surgically. Randomly divided into control group (76 cases) and treatment group (76 cases). Two groups were given open resection and laparoscopic resection. Observe the patient's curative effect， complication rate， hospitalization time and quality of life. Results The total effective rate of treatment was 98.68% in the treatment group and(80.04±4.38)points in the postoperative life， which was higher than 92.11% (χ2=5.06，P<0.05) and the postoperative quality of life score (75.26±5.28)points in the control group(t=5.66，P<0.05). The incidence of complications in the treatment group was 1.32%， which was lower than the control group(9.21%)(χ2=6.04，P<0.05). The length of stay in the treatment group(6.02±1.15)d， shorter than the control group (8.92±2.13)d(t=4.38，P<0.05). Conclusion Laparoscopic surgery is used for the treatment of benign gynecological diseases. The curative effect is significant. The patients recover quickly after surgery and the safety of treatment is high， which helps to improve the patient's quality of life.
[Key words] Laparoscopic surgery； Open surgery； Uterine fibroids； Infection
近年來，由于受到人们生活习惯、饮食结构等因素变化的影响，女性患者妇科良性疾病发病率逐渐升高[1]。手术是临床治疗妇科良性疾病的主要方法[2]。为了评估腹腔镜手术治疗妇科良性疾病患者的安全性，该研究将152例患者作为研究对象，现将2014年1月—2017年12月收治患者的治疗流程及效果分析，现报道如下。
1 资料与方法
1.1 一般资料
方便抽取该院收治的152例妇科良性疾病患者为研究对象。所有患者均接受手术治疗。随机分为对照组(76例)和治疗组(76例)2个组别。纳入标准：①所选病例均经过伦理委员会批准；②患者家属均知情同意；③符合妇科良性疾病诊断标准。排除标准：①排除妇科恶性疾病患者；②排除年龄<20岁或>65岁的患者。对照组年龄22～65岁，平均年龄(46.2±3.3)岁；子宫肌瘤28例，卵巢囊肿23例，宫颈肿瘤19例，其他妇科良性疾病6例。治疗组年龄20～62岁，平均年龄(46.0±3.1)岁；子宫肌瘤30例，卵巢囊肿21例，宫颈肿瘤18例，其他妇科良性疾病7例。两组一般资料比较，差异无统计学意义(P>0.05)。, 百拇医药(沈娟)