Application of gasless laparoscopic surgery in patients with intrauterine pregnancy and gynecologic benign tumor(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2018年第4期
- Page:
- 489-492
- Research Field:
- 其他（激光医学等）
- Publishing date:
Info
- Title:
- Application of gasless laparoscopic surgery in patients with intrauterine pregnancy and gynecologic benign tumor
- Author(s):
- WANG Chunling; YU Jiang; TIAN Yun; FENG Shan
- Department of Obstetrics and Gynecology, 181st Hospital of Chinese People’s Liberation Army, Guilin 541002, China
- Keywords:
- ; gasless laparoscopic surgery; intrauterine pregnancy; gynecologic benign tumor
- PACS:
- R713
- DOI:
- DOI:10.3969/j.issn.1005-202X.2018.04.022
- Abstract:
- Objective To study the therapeutic effect and safety of gasless laparoscopic surgery (GLS) in patients with intrauterine pregnancy accompanied by gynecologic benign tumor. Methods A total of 80 patients suffering from intrauterine pregnancy with gynecologic benign tumor were selected and randomly divided into control group and observation groups, with 40 cases in each group. The patients in control group received general anesthesia CO2 laparoscopic surgery, while those in observation group were treated with epidural anesthesia GLS combined with tocolytic therapy. The differences in arterial blood gas analysis, hemodynamic changes, operation time, postoperative exhaust time, recovery time and cardiopulmonary function influence were compared. Results No statistical differences were found in arterial partial oxygen pressure, oxygen saturation and pH value between the two groups (P>0.05). After operation, the carbon dioxide pressure, base excess, mean systolic blood pressure, diastolic blood pressure and heart rate in observation group didn’t showed any remarkable changes compared to those before anesthesia (P>0.05), while those indicators were all significantly higher in control group (P<0.05), and the differences between the two groups were statistically significant (P<0.05). The operation time, postoperative exhaust time and recovery time in observation group were shorter than those in control group (P<0.05). There were no severe complications in observation group, but 5 cases of subcutaneous emphysema occurred in control group. No statistical differences were found in lung compliance in observation group before anesthesia and after operation (P>0.05), while in control group, lung compliance after operation was significantly lower than that before anesthesia (P<0.05) and that in observation group (P<0.05). Conclusion GLS with epidural anesthesia for intrauterine pregnancy patients can bring less influence on cardiopulmonary function, shorten operation time and recovery time, and distinctly improve tocolytic success rate.
Last Update: 2018-04-23