子宫切除术_____子宫切除术，阴道式；腹腔镜；临床研究

腹腔镜辅助经阴子宫切除术40例临床分析

http://www.100md.com 《腹腔镜外科杂志》 2006年第2期

子宫切除术,,子宫切除术，阴道式；腹腔镜；临床研究,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨腹腔镜辅助经阴子宫切除术的可行性和安全性。方法：回顾分析腹腔镜经阴子宫切除术40例(观察组)与经腹子宫切除术42例(对照组)的手术和术后情况。结果：手术时间观察组为(13000±2108)min，对照组为(9000±3030)min；术中出血观察组(12000±3058)ml，对照组为(11000±3100)ml；术后体温恢复正常时间观察组为(108±080)d，对照组为(360±120)d；肛门排气时间观察组为(800±320)h，对照组为(2050±654)h；术后住院时间观察组为(450±110)d，对照组为(700±130)d。结论：腹腔镜辅助经阴子宫切除术具有创伤小、术后康复快及住院时间短的优点，是较为安全的手术方法。

    【关键词】子宫切除术，阴道式；腹腔镜；临床研究

    The clinical analysis of laparoscopicallyassisted vaginal hysterectomy

    WANG Wei,GAO Jiying,DING Zhaoxia.

    Donggang Hospital of Rizhao City,Rizhao 276800,China

    【Abstract】 Objective:To explore the feasibility and safety of laparosopicallyassisted vaginal hysterectomy.Methods:The operative and postoperative conditions of 40 cases underwent laparoscopicallyassisted vaginal hysterectomy(observational group)and 42 cases underwent laparotomy hysterectomy(control group)were analyzed.Results:Operative time was (130.00±21.08)min in observational group and (90.00±30.30)min in control group.Blood loss was (120.00±30.58)ml in observational group and (110.00±31.00)ml in control group.The time of temperature recovering normal after operation was (1.08±0.80)d in observational group and (3.60±1.20)d in control group.Anal carminative time was (8.00±3.20)h in observational group and (20.50±6.54)h in control group.The hospitalization was (4.50±1.10)d in observational group and (7.00±1.30)d in control group.Conclusions:The advantages of laparosopicallyassisted vaginal hysterectomy are minimal invasion,less bleeding and rapid recovery.It is a safe procedure. ......

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