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腹腔镜下大子宫切除87例临床分析
http://www.100md.com 《腹腔镜外科杂志》 2005年第4期
腹腔镜,,腹腔镜;大子宫切除,1资料与方法,2结果,3讨论,参考文献:
     【摘要】目的:探讨腹腔镜下大子宫(孕12周以上)切除的可行性及安全性,将87例腹腔镜下因子宫良性疾病需行子宫切除大子宫与同期97例开腹大子宫切除对照进行回顾性分析。方法:2000年9月至2003年8月,我院共完成腹腔镜大子宫切除术87例,与同期开腹大子宫切除术97例作比较。结果:两组手术时间、术中出血量、术后病率及术后恢复均有显著差异(P<005)。两组均无并发症发生。结论:腹腔镜下能顺利进行大子宫切除,是一种较理想的手术方式。

    【关键词】腹腔镜;大子宫切除

    The clinical analysis of hysterectomy of gigantic uterus for 87 cases under laparoscopy

    XU Lina,LI Lifeng.

    Taizhou the First People's Hospital,Taizhou 318020,China

    【Abstract】Objective:To investigate the feasibility and security of laparoscopic hysterectomy (LH) of giganticuterus.Methods:A retrospective analysis on 87 cases of laparoscopic hysterectomy of large uterus. (the size equivalent to 1324 pregnant weeks) compared with 97 cases of transabdomnal hysterectomy (TAH) of large uterus (1323w).Results:87 of LH were successfully compared with TAH. The average duration of operation of LH more than those of TAH (P< 001) . But in the guantity of bleeding,the postoperative morbidity rate and recovered time.The cases of LH were significantly less than those of TAH(P< 005 ).Conclusions:LH can applied completely to cases with large uterus. LH of cases has many advantages in less loss, less pain,more quick recovery and fewer complication. ......

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