ABSTRACT
Objective To compare and observe the clinical effects between abdominoscope conservative surgical management and laparotomy conservative surgical management for tubal pregnancy.Methods From January 2007 to January 2008,112 cases of tubal pregnancy patients were randomly classified into two groups,which abdominoscope surgery with 67 cases and abdominal surgery with 45 cases.Results The operation time,body temperaturerecovery time and anus start deflation time in abdominoscope surgery group were significantly shorter than those in abdominal surgery group(P ＜ 0.05).The tubal patency rates and 1 year conception rates in abdominoscope surgery group were significantly higher than those in abdominal surgery group(P ＜ 0.05).Conclusion Abdominoscope conservative surgical management treated tubal pregnancy is the best choice for those with breed requirement,which insult is small,bleeding amount is few,length of stay is short and recovery is quick.
ABSTRACT
Objective Summarize the nursing experiences of abdominoscope for patients with ovarian cysts. Methods Enough preoperative evaluation, careful perioperative nursing and observation were used in 150 patietns with ovarian cysts when cured by abdominoscope. Results All the patients had accepted succesful operation, there were no intensive complication among the patients. Conclusions Proper nursing measures should be developed with therapeutic laparoscopy, nursing cares according to the operation can effetive shorten the course of rehabilitation for patients.
ABSTRACT
Objective To investigate the effect of the general anesthesia combined with peridural anesthesia on hirschsprung's radical operation through children abdominoscope. Methods 40 children patients with hirschsperung were elective eradicative operated by using endotrachal intubation complex vein general anesthesia combined with continuons peridural anesthesia.ECG,HR,MAP,SPO 2,P ET CO 2 were monitored, and blood gas were recorded and analyzed before pneumoperitoneum,15 minutes and 40 minutes after pneumoperitoneum,1 minute after deflation,before decannulation at the operation termination.Results Compared with before pneumoperitoneum date,HR inereased obviously 40 minutes after pneumoperitoneum,and before decannulation at the operation termination,peak pressure in airway increased obviously after pneumoperitoneum,the difference was notable,SPO 2 decreased after pneumoperitoneum,the difference was also significant.pH decreased gradually with the time prolongation,there was obviously difference.The trend of P ET CO 2 and PaCO 2 changes were analogous,P ET CO 2 had much notable difference after pneumoperitoneum,PaCO 2 had notable difference at the operation termination,and before decannulation,it was decreased to the basic value.Conlusions Hirschsprung's Disease eradical operation using general anesthesia combined with peridural anesthesia under abdominoscope guide,can immobilize ill children completely,relieve pain perfectly,muscular relaxation satisfactory,the physical interference to body is little and less complication.