摘要
目的:探讨肥胖患者行腹腔镜子宫次全切除术的临床效果。方法:回顾分析在我院行腹腔镜子宫次全切除的肥胖患者188例,并与同期行开腹子宫次全切除的200例肥胖患者进行比较。结果:腹腔镜组术中出血量少、术后体温恢复快、留置尿管时间短、进食早、排气快、下床活动早,住院时间短,与开腹组相比差异有非常显著性(P<0.001);且不增加手术时间(P>0.05),切口愈合良好。结论:腹腔镜子宫次全切除术对肥胖患者是一种安全、有效的手术方式,能体现出微创的优势。
Objective： To trial the clinical application of laparoscopic subtotal hysterectomy in obesity patients, Methods：188 obesity women underwent laparoscopic subtotal hysterectomy from 2003 - 7 to 2006 - 7 were retrospectively reviewed, and compared with 200 obesity patients with transabdominal subtotal hysterectomy in the same period. Results： In laparoscopic group, there were less bleeding loss, rapidly recovery to normal temperature and gastrointestinal function, earlier dislodge draining, out - of - bed activity and eating, shorten hospitalization, when compared with transabdominal group（ P〈 0,001 ）. The operative time was no difference between two group（ P 〉 0.05）. Conclusions： Laparoscopic subtotal hysterectomy is a safe, available way for obesity patients.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2007年第4期214-216,共3页
Journal of Practical Obstetrics and Gynecology
关键词
肥胖
腹腔镜
手术
Obesity
Laparoscope
Operation WHO
