[1]燕素芳,戚秀娟.腹腔鏡在瘢痕子宮全子宮切除術中的應用[J].醫學信息,2019,(22):100-102.[doi:10.3969/j.issn.1006-1959.2019.22.031]
 YAN Su-fang,QI Xiu-juan.Laparoscopy in the Treatment of Scar Uterus Hysterectomy[J].Medical Information,2019,(22):100-102.[doi:10.3969/j.issn.1006-1959.2019.22.031]
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腹腔鏡在瘢痕子宮全子宮切除術中的應用()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年22期
頁碼:
100-102
欄目:
臨床研究
出版日期:
2019-11-15

文章信息/Info

Title:
Laparoscopy in the Treatment of Scar Uterus Hysterectomy
文章編號:
1006-1959(2019)22-0100-03
作者:
燕素芳1戚秀娟2
(1.江蘇省沛縣人民醫院婦產科,江蘇 沛縣 221600; 2.沛縣朱寨衛生院婦產科,江蘇 沛縣 221625)
Author(s):
YAN Su-fang1QI Xiu-juan2
(1.Department of Obstetrics and Gynecology,Peixian People's Hospital,Peixian221600,Jiangsu,China;2.Department of Obstetrics and Gynecology,Zhuzhai Health Center,Peixian 221625,Jiangsu,China)
關鍵詞:
腹腔鏡瘢痕子宮全子宮切除術
Keywords:
LaparoscopyScar uterusTotal hysterectomy
分類號:
R713
DOI:
10.3969/j.issn.1006-1959.2019.22.031
文獻標志碼:
A
摘要:
目的 分析腹腔鏡在瘢痕子宮全子宮切除術中應用的可行性和安全性。方法 選擇2018年3月~2019年3月在我院行腹腔鏡全子宮切除術的患者98例,依據子宮是否瘢痕分為瘢痕組和非瘢痕組,各49例。比較兩組手術時間、術中出血量、肛門排氣時間、下床活動時間、并發癥以及1次剖宮產與2次或以上剖宮產患者手術指標和并發癥情況(術中出血量>500 ml、膀胱穿孔、盆腔血腫、陰道殘端出血)。結果 瘢痕組手術時間、術中出血量均高于非瘢痕組,差異有統計學意義(P<0.05);瘢痕組肛門排氣時間、下床活動時間與非瘢痕組比較,差異無統計學意義(P>0.05);瘢痕組并發癥發生率為12.24%,與非瘢痕組的16.33%比較,差異無統計學意義(P>0.05);1次剖宮產患者手術時間、術中出血量均低于2次或以上剖宮產患者,差異有統計學意義(P<0.05);1次剖宮產患者并發癥發生率為17.86%,與2次或以上剖宮產患者的14.29%比較,差異無統計學意義(P>0.05)。結論 腹腔鏡應用于瘢痕子宮全子宮切除術中難度大于非瘢痕子宮,手術時間相對較長,術中出血量相對較多。但仍具有良好的安全可行性,且多次剖宮產患者在有經驗的醫生操作下,仍可經腹腔鏡完成手術。
Abstract:
Objective To analyze the feasibility and safety of laparoscopic application in total hysterectomy for scar uterus. Methods A total of 98 patients who underwent laparoscopic hysterectomy in our hospital from March 2018 to March 2019 were enrolled. According to whether the uterus was scar or not, the scar group and the non-scar group were divided into 49 cases. Comparison of operation time, intraoperative blood loss, anal exhaust time, time to get out of bed, complications, and 1 cesarean section and 2 or more cesarean section surgical indexes and complications (intraoperative blood loss > 500 ml, bladder perforation, pelvic hematoma, vaginal stump bleeding). Results The operation time and intraoperative blood loss of the scar group were higher than those of the non-scar group, the difference was statistically significant (P<0.05). There was no significant difference in the anus exhaust time and the time of getting out of bed in the scar group compared with the non-scar group(P>0.05); the incidence of complication in the scar group was 12.24%, compared with 16.32% in the non-scar group, the difference was not statistically significant (P>0.05);the operative time and intraoperative blood loss of patients with cesarean section were lower than 2 or more cesarean section patients, the difference was statistically significant (P<0.05); the complication rate of cesarean section was 17.85%,compared with 19.04% of patients with cesarean section 2 or more, the difference was not statistically significant (P>0.05). Conclusion Laparoscopy is more difficult than total non-scarred uterus in the treatment of scar hysterectomy. The operation time is relatively long and the amount of intraoperative blood loss is relatively high. However, it still has good safety and feasibility, and multiple cesarean section patients can still undergo laparoscopic surgery under the operation of experienced doctors.

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更新日期/Last Update: 2019-11-15
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