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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

03

期数:

2003年4期

页码:

319-320

栏目:

出版日期:

2003-04-30

文章信息/Info

Title:

A comparison between laparoscopic and open intrafascial hysterectomy

作者:

赵映华　 陈惠芳　 黎洁颜　 卫凤英　 李越　 何洁云

广东省顺德市妇幼保健院妇科,顺德,528300

Author(s):

Zhao Yinghua; ChenHuifang; Li Jieyan; et al.

Department ofGynecology,Shunde Maternity andInfantHospital,Shunde528300,China

关键词:

腹腔镜;  筋膜内子宫切除术

Keywords:

Laparoscope; 　Intrafascial hysterectomy

分类号:

R713.4+2

文献标志码:

A

摘要:

目的评价腹腔镜筋膜内子宫切除术的临床价值. 方法回顾性分析37例腹腔镜筋膜内子宫切除术和45例开腹筋膜内子宫切除术,就手术时间、术中出血量、肛门恢复排气时间、术后病率、术后并发症进行对比分析. 结果两组手术均获成功,无严重并发症.手术时间腹腔镜组(158min±36.7min)长于开腹组(99min±24.3min)(t=8.714,P<0.01).术中出血量腹腔镜组(164ml±58ml)多于开腹组(126ml±28ml)(t=3.883,P<0.01).术后肛门恢复排气时间腹腔镜组(26.4h±6.3

Abstract:

Objective　To evaluate the clinical significancy of laparoscopic intrafascial hysterectomy.　Methods　We reviewed 37 cases of laparoscopic intrafascial hysterectomy and 45 cases of open intrafascial hysterectomy. A controlled study on operative time, blood loss, time to first flatus, postoperative morbidity and complicationswas made.　Results　All operations in two groupswere successfully completed, and no severe complicationswere seen. In laparoscopic group and open group, the operative time, blood loss, time to first flatus, and postop- erative morbidity were (158±36·7) min and (99±24·3) min (t=8·714,P<0·01), (164±58) ml and (126±28) ml (t=3·883,P< 0·01), (26·4±6·3) hr and (31±4·7) hr (t=-3·784,P<0·01), 4/37 and 17/45 (χ2=6·400,P<0·05), respectively.　Conclu- sions　Laparoscopic intrafascial hysterectomy offers more rapid recovery and lower postoperative morbidity but has longer operative time and more blood loss compared with the open operation. With the improvement of surgical techniques and the accumulation of experience, this pro- cedure is awaiting the further development.

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更新日期/Last Update: 2014-07-02