| 四种腹腔镜子宫切除术在良性妇科疾病中的临床效果比较 |
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| 引用本文： | 徐秋莲.四种腹腔镜子宫切除术在良性妇科疾病中的临床效果比较[J].中国现代医生,2011,49(14):31-32. |
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| 作者姓名： | 徐秋莲 |
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| 作者单位： | 金华市人民医院妇产科,浙江金华,321000 |
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| 摘 要： | 目的探讨四种腹腔镜子宫切除术在良性妇科疾病中的临床效果。方法回顾分析2006年5月。2010年1月金华市人民医院278例良性妇科疾病患者行腹腔镜子宫切除术的临床资料，对比分析4种术式的手术适应证及临床应用情况。结果腹腔镜鞘膜内子宫切除术总并发症发生率达6．3％，与其他三组比较差异有统计学意义（P〈0．05）；保留子宫颈的两种术式腹腔镜鞘膜内子宫切除术、腹腔镜子宫次全切除术与切除子宫颈的两种术式腹腔镜辅助阴式子宫切除术和腹腔镜全子宫切除术比较，手术时间、术中出血量及肛门排气时间均有明显差异（P〈0．01）；腹腔镜辅助阴式子宫切除术后体温升高率最大（5．6％）。结论腹腔镜子宫次全切除术及腹腔镜鞘膜内子宫切除术部分减少腹腔镜辅助阴式子宫切除术及腹腔镜全子宫切除术式数量，但不同术式各有优势，互不能完全替代，应根据患者的情况、手术医生的技术水平、医院的条件等综合考虑。
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| 关 键 词： | 腹腔镜 良性妇科疾病 子宫切除术 |
Comparison Study on Four Kinds of Laparoscopic Hysterectom in Benign Gynecological Diseases |
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| Authors: | XU Qiulian |
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| Institution: | XU Qiulian Department of Obstetrics,People's Hospital of Jinhua City,Zhejiang Province,Jinhua 321000,China |
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| Abstract: | Objective To investigate the effects and outcomes of four rocedures for laparoscopic hysterectomy.Methods The clinical data of 278 patients who underwent laparoscopic hysterectomy from May 2006 to Jan 2010 was retrospectively analyzed.The clinical application and operative indication of 4 approaches were compared and analyzed.Results LISH with a complication rate of 6.3%;The average operation time of LISH and LSH groups was significantly shorter than that LAVH and LTH groups(P<0.05),while the volume of hemo... |
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| Keywords: | Laparoscopic Benign gynecological diseases Hysterectom |
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