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疑难妇科腹腔镜手术技巧临床探讨
引用本文:罗迎春,于江.疑难妇科腹腔镜手术技巧临床探讨[J].中国妇幼保健,2011,26(20):3168-3170.
作者姓名:罗迎春  于江
作者单位:中国人民解放军第181医院妇科,广西桂林,541002
基金项目:广西壮族自治区桂林市科学研究与技术开发计划项目〔20080217〕
摘    要:目的:减少妇科腹腔镜中转开腹的几率、扩大腹腔镜手术适应证。方法:从4 215例妇科患者中随机选取112例有下腹部开腹手术史且肿瘤较大的患者,并随机分成两组,A组(56例)进行免气与有气腹腔镜联合手术,B组(56例)施行腹腔镜检查后立即中转开腹手术。结果:两组患者均顺利完成手术,两组手术时间无明显差异,A组术后疼痛轻,术后病率低,肛门排气早,住院时间短。结论:免气与有气腹腔镜联合手术可以拓宽妇科腹腔镜手术范围,且安全可靠。

关 键 词:腹腔镜  疑难妇科手术  开腹手术

The Clinical study of laparoscopic surgical techniques
LUO Ying-Chun,YU Jiang.The Clinical study of laparoscopic surgical techniques[J].Maternal and Child Health Care of China,2011,26(20):3168-3170.
Authors:LUO Ying-Chun  YU Jiang
Institution:LUO Ying-Chun,YU Jiang.Department of Gynecology,181st Hospital of the People's Liberation Army,Guilin 541002,Guangxi,China
Abstract:Objective:To reduce the probability of laparoscopic converted to open surgery,laparoscopic surgery to expand indications.Methods:To selected randomly 112 patients among 4 215 cases of gynecological patients who were operated in our hospital from September 2008 to September 2010 with a history of lower abdominal laparotomy and larger tumors,and the 112 patients were divided randomly into two groups.56 patients of group A had free gas and gas combined laparoscopic surgery,56 patients of group B were converted...
Keywords:Laparoscopic  Complex gynecological surgery  Laparotomy  
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