腹腔镜子宫切除术中宫旁缝合套扎的应用
腹腔镜,,腹腔镜；全子宫切除,1资料与方法,2结果,3讨论,参考文献：
【摘要】目的：分析、讨论腹腔镜下全子宫切除术中子宫动静脉的处理方法。方法：回顾性分析23例腹腔镜下全子宫切除术中子宫静脉的处理方法、分析宫旁缝扎组与血管游离后处理组及腹腔镜联合阴式子宫切除组的手术时间、术中出血量及术后发病率。结果：宫膀缝扎组与血管游离后处理组病人的手术时间、术后出血量及术后发病率比较差差异没有显著性，宫膀缝扎后再电凝切断子宫血管及主韧带，在腹腔镜子宫切除术中具有出血少、简单易行的优点。【关键词】腹腔镜；全子宫切除
Study of treatment of uteri blood vessel on 25 patients with laparoscopic hysterecyomy
LING Chang- hua， SHAO Shanshan， XIE Guieqin
The Second Hospital,HUaiyuan, Anhui 233400 ,China
【Abstract】Objective:To study the treatment method of uteri activity and inhtertia with laparoscopc panhysterectomy.Methods:The treatment method of uteri activity and intertia on 23 patients with laparoscopic panhysterectomy was analyzed retrospectively. The operation time, the volume of blood and rate of sickness afier operation among the group of transfixion on the parauteri, the group of freeing vessel and the group of associating perineum by laparoscope were compared. Results:The operation time, the volume of blood and rate of sickness after operation were not significant difference between the group of transfixion on the para-uteri and the group of fieeing blood vessel. The operation time and rate of sickness after operation were not significant difference between the group of tiansfixion on the parauteri and the group of associating perineum by laparoscope, but the volume of blood decreased strikingly.Conclusions:Breaking uteri blood vessel and cardinal ligament by electric coagulation after transfixion on the para-uteri are easy to operare, demand some simple instruments, and have a good operative field. It has an important clinical application value on laparoscopic hysterectomy. ......
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