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目的探讨改良腹腔镜辅助阴式子宫切除术行大子宫切除的疗效和安全性。方法将260例患者随机分为行改良腹腔镜辅助阴式子宫切除术组（观察组）和传统经腹手术切除组（对照组），比较两组术中出血量、手术时间、肛门排气时间，术后疼痛程度及并发症发生情况。结果两组手术时间差异无统计学意义（P＞0.05）；观察组术中出血量、术后肛门排气时间重度疼痛病例均少于对照组，差异均有统计学意义（P＜0.05）。术后随访3个月，均未见并发症发生，切口愈合良好，盆腔未见异常。结论改良腹腔镜辅助阴式子宫切除术行大子宫切除的疗效较佳，可明显减少术中出血量，缓解患者的疼痛，避免了严重并发症的发生，值得临床推广应用。
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更新时间：2015-03-31
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改良腹腔镜辅助阴式子宫切除术行大子宫切除的疗效分析
Therapeutic effect analysis of improved laparoscope assisted vaginal hysterectomy in the resection of big uterus
微创医学 201402期 页码：186-188
作者机构：(湖北省咸宁市崇阳县妇幼保健院妇产科,崇阳县437500)
基金信息：（湖北省咸宁市崇阳县妇幼保健院妇产科，崇阳县437500）作者简介：杨波（1966～），男，本科，副主任医师 ，
- 中文简介
- 英文简介
- 参考文献
ObjectiveTo investigate the efficacy and safety of improved laparoscope assisted vaginal hysterectomy in the resection of big uterus. MethodsTwohundred and sixty patients were randomly assigned into the observation group treated with improved laparoscope assisted vaginal hysterectomy or the control group treated with conventional abdominal surgical resection.Blood loss, operative time, flatus postoperative pain, and complications were observed and compared between the groups. ResultsThere was no significant difference in operating time between the two groups(P ＞0.05). But the observation group has less blood loss, postoperative anal exhaust time , and patients of severe pain (all P＜0.05 ). Patients were followed up for 3 months, and no complication was found, and all with fine cured incision and without any abnormality in pelvic cavity. ConclusionImproved laparoscope assisted vaginal hysterectomy in the resection of big uterus has a fine therapeutic effect, for it can obviously decrease blood loss, relieve patients′ pain, and avoid severe complication, indicating its broad popularization.
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