| 全子宫切除不同术式的临床疗效观察 |
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| 引用本文： | 单莉,何菊仙,周海燕,李璐,龙泳.全子宫切除不同术式的临床疗效观察[J].第四军医大学学报,2009(17). |
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| 作者姓名： | 单莉 何菊仙 周海燕 李璐 龙泳 |
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| 作者单位： | 陕西省妇幼保健院妇产科;第四军医大学军事预防医学系军队流行病学教研室; |
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| 摘 要： | 目的:比较3种不同途径全子宫切除术的临床效果,探讨全子宫切除术的适合途径.方法:回顾性分析非脱垂子宫良性病变行腹腔镜下全子宫切除(TLH)497例、开腹全子宫切除(TAH)425例、经阴道全子宫切除(TVH)231例的临床资料.患者对手术时间、术中出血量、术后恢复时间、术后并发症的发生率、性生活满意度、住院费用、住院时间等临床结果进行比较分析.结果:3种不同途径全子宫切除术的手术时间差异无显著性;术中出血量TLH组明显小于TAH组及TVH组,差异具有统计学意义(P<0.05).而TAH组与TVH组间差异无显著性.术后疼痛程度TAH组显著高于TLH组及TVH组,差异具有统计学意义(P<0.05),而TVH组术后疼痛程度略高于TLH组,两者差异不显著.术后并发症发生率TLH组及TVH组均低于TAH组(P<0.05),而TLH组及TVH组组间差异不显著.使用抗生素时间TLH组及TVH组明显短于TAH组(P<0.05),而TLH组及TVH组组间差异不显著.结论:TLH及TVH2种术式创伤小、恢复快、住院时间短、并发症少,是全子宫切除手术较为理想的途径.
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| 关 键 词： | 腹腔镜 剖腹术 阴式子宫切除 |
Comparative study of different kinds of hysterectomy |
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| SHAN Li,HE Ju-Xian,ZHOU Hai-Yan,LI Lu,LONG Yong.Comparative study of different kinds of hysterectomy[J].Journal of the Fourth Military Medical University,2009(17). |
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| Authors: | SHAN Li HE Ju-Xian ZHOU Hai-Yan LI Lu LONG Yong |
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| Institution: | SHAN Li1,HE Ju-Xian1,ZHOU Hai-Yan1,LI Lu1,LONG Yong2 1Department of Gynecology and Obstetrics,Shaanxi Mother and Children's Hospital,Xi'an 710003,China,2Department of Military Epidemiology,Fourth Military Medical University,Xi'an 710033 |
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| Abstract: | AIM:To compare different approaches of hysterectomy by reviewing the clinical results of three kinds of hysterectomy.METHODS:A retrospective analysis was conducted in 497 cases of total laparoscopical hysterectomy(TLH),425 cases of trans-abdominal hysterectomy(TAH) and 231 cases of trans-vaginal hysterectomy(TVH) performed in Shaanxi Mother and Children's Hospital from January 2004 to 2009.Factors including duration of operation,intra-operative blood loss,postoperative pain,recovery time,incidence of compli... |
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| Keywords: | laparoscopes laparotomy total laparoscopical hysterectomy(TLH) |
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