[1]范颖,王君,张军,等.无气腹与气腹腹腔镜子宫切除术的临床初步评估[J].中国微创外科杂志,2009,09(9):787-789.
　Fan Ying,Wang Jun,Zhang Jun,et al.Primary Assessment of Gasless and Conventional Laparoscopy for Hysterectomy[J].Chinese Journal of Minimally Invasive Surgery,2009,09(9):787-789.
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无气腹与气腹腹腔镜子宫切除术的临床初步评估()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年9期
页码:
787-789
栏目:
出版日期:
2009-09-30

文章信息/Info

Title:
Primary Assessment of Gasless and Conventional Laparoscopy for Hysterectomy
作者:
范颖; 王君; 张军; 赵文娟; 李斌
首都医科大学附属安贞医院妇产科，北京100029
Author(s):
Fan Ying;  Wang Jun;  Zhang Jun;  et al.
Department of Obstetrics and Gynecology, Anzhen Hospital, Capital Medical University, Beijing 100029, China
关键词:
子宫切除术; 无气腹; 气腹; 腹腔镜
Keywords:
Hysterectomy; Gasless; Pneumoperitoneum; Laparoscopy
分类号:
R713.4+2
文献标志码:
A
摘要:
目的探讨应用无气腹腹腔镜行子宫切除术的可行性及其优点。方法比较2003年10月~2008年10月无气腹36例与气腹39例腹腔镜辅助阴式子宫切除术的手术时间、出血量、切除的子宫重量、术后病率、抗生素使用时间、住院时间、麻醉费用、手术费用、住院总费用。无气腹组18例合并心、肺疾病，为气腹禁忌证。结果与气腹组相比，无气腹组手术时间短［(81.0±18.5)min vs (96.5±15.4)min, t=-3.95, P=0.000)］，术中出血量少［(53.8±31.6) ml vs (74.2±335)ml, t=-2.71, P=0.001］，麻醉费用少［(923.6±223.3)元 vs (1585.1±253.4)元， t=-12.01, P=0.000］，但术后抗生素使用时间长［(5.0±1.0)d vs (3.2±0.9)d， t=14.14, P=0.000］，术后住院时间长［(6.1±0.8)d vs (4.6±0.8)d， t=7.65, P=0.000］。2组术中切除子宫重量、术后病率、手术费用、住院总费用差异无显著性（P>0.05）。结论无气腹腹腔镜子宫切除术是可行的,尤其对有心、肺合并症者，具有较高的临床应用价值。
Abstract:
ObjectiveTo investigate the feasibility and superiority of gasless laparoscopy in hysterectomy.MethodsThe operation time, blood loss, weight of removed uterus, rate of postoperative morbidity, time for antibiotics therapy, length of hospital stay, cost of operation and anesthesia, and total medical cost were compared between gasless laparoscopic hysterectomy (n=36) and conventional laparoscopic hysterectomy (n=39), which were performed from October 2003 to October 2008.In the gasless group,18 patients were complicated with cardiac of pulmonaty diseases,which are contraindications of pneumoperitoneum. ResultsCompared with gasless group, conventional group showed significantly shorter operation time ［(81.0±18.5) min vs (96.5±15.4) min, t=-395,P=0000)］, less blood loss ［(53.8±31.6) ml vs (74.2±33.5) ml, t=-2.71, P=0.001］, lower cost for anesthesia ［(923.6±223.3) yuan vs (1585.1±253.4) yuan, t=-12.01, P=0.000］, but significantly longer antibiotics therapy ［(5.0±1.0) d vs (3.2±0.9) d, t=14.14, P=0.000］, and longer postoperative hospital stay ［(6.1±0.8) d vs (4.6±0.8) d, t=765, P=0000］. No significant difference was found between the two groups in the weight of removed uterus, postoperative morbidity, cost of operation, and total medical cost (P>0.05). ConclusionsGasless laparoscopy is feasible in hysterectomy, especially for the patients complicated with cardiac or pulmonary diseases.

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备注/Memo

备注/Memo:
李斌通讯作者
更新日期/Last Update: 2014-01-08