摘要
目的:探讨免气腹腹腔镜手术治疗合并心肺疾病、老年或妊娠期妇科疾病患者的安全性、可行性及治疗效果。方法:回顾分析2011年3月至2012年9月收治的异位妊娠合并心肺疾病、子宫肌瘤合并心肺疾病、老年卵巢囊肿、孕妇卵巢囊肿蒂扭转12例患者的临床资料。观察手术时间、住院时间、术中出血量、血氧饱和度、气道压力,围手术期pH值、血压、心率,术中、术后并发症等。结果:12例手术均获成功,手术时间平均(45.2±7.6)min,术中出血量平均(105.6±38.9)ml,术后平均住院(5.6±2.5)d。患者术前、术中及术后动脉血pH值、二氧化碳分压、氧分压、碳酸氢根、血氧饱和度、心率、血压(平均动脉压、无创收缩压、无创舒张压)差异均无统计学意义(P>0.05)。结论:免气腹腹腔镜手术治疗合并心肺疾病、老年或妊娠期妇科疾病是安全、可行的,手术操作简单。
Objective：To discuss the safety, feasibility and effect of gasless laparoscopic surgery in treating gynecologic diseases combined with cardiopulmonary diseases or for the aged or the pregnant. Methods：The clinical data of 12 patients from Mar. 2011 to Sep. 2012 were retrospectively analyzed. The special situations included ectopic pregnancy concurrent with cardiopulmonary disease, myoma of uterus concurrent with cardiopulmonary disease as well as eider women with ovarian tumor and pregnant woman with torsion of the pediele of ovarian cyst. The following parameters were observed ： the operating time, the hospital stay, intraoperative blood loss, the blood oxygen saturation,the pressure of airway, the pH,the blood pressure and the heart rate before, during and after the operation, plus intraoperative and postoperative complications. Results：All 12 cases were treated successfully by gasless laparoscopic surgery. The aver- age operating time was （ 45.2 ±7.6 ） rain, the average amount of intraoperative blood loss was （ 105.6 ±38.9 ） ml, the average postop- erative hospital stay was （ 5.6 ±2.5 ） d. In comparison with preoperative, intraoperative and postoperative data regarding the arterial blood pH,the blood carbon dioxide pressure,the blood oxygen pressure, the bicarbonate,the blood oxygen saturation,the heart rate,the blood pressure （mean arterial pressure, noninvasive systolic blood pressure, noninvasive diastolic blood pressure） , the differences were not statistically significant （ P 〉 0.05 ）. Conclusions ： Gasless laparoscopic surgery is safe and feasible in the treatment of gynecologic diseases combined with cardiopulmonary diseases and for the aged or the pregnant.
出处
《腹腔镜外科杂志》
2013年第5期357-359,共3页
Journal of Laparoscopic Surgery
基金
广东省东莞市科技计划项目(编号:201110515000134)
作者简介
单祝环（1978-）女，广东省东莞市大朗医院主治医师，主要从事腹腔镜方面的研究。
