摘要
目的研究分析腹腔镜子宫全切手术（TLH）患者使用子宫血管缝扎的治疗效果。方法根据我院2010-2013年接收的78例腹腔镜子宫全切治疗患者来进行研究分析,将患者分成三组,采取不同的子宫血管处理方式,每组均有26例患者,分为子宫血管缝扎组、子宫动脉游离结扎组、子宫动脉电凝组,对三组患者的手术时间、出血情况等进行探讨。结果全部患者经过手术治疗后,均获得良好的效果,此次研究中没有出现一例并发症患者。子宫血管缝扎术和子宫动脉游离结扎的手术时间、出血量等没有显著差异性;子宫血管缝扎组患者的出血量比子宫动脉电凝组要少一些,其余内容无差异性。结论为子宫全切手术患者提供子宫血管缝扎的处理方式可以降低患者的出血量,提升手术安全性,因此该方式比较推介为子宫全切术患者使用。
Objective To study the effect of uterine vascular suture used in patients with laparoscopic hysterectomy operation. Methods 78 cases of laparoscopic uterine in our hospital from 2010 to 2013 were selected in the study and analyzed. The patients were divided into three groups, adopted the uterine vascular treatment in different ways, with 26 patients in each group. The three groups were the uterine vascular suture group, the uterine artery ligation group, and the free of uterine artery electrocoagulation group. The indicators were discussed including the operation time, the amount of bleeding etc. Results All of the patients after the surgical treatment obtained the good effect without complication. The differences of the operation time and the amount of bleeding between the uterine vascular suture group and the uterine artery ligation group had no significant difference. The amount of bleeding of the patients in the uterine vascular suture group was less than that of the uterine artery electrocoagulation group, without other difference. Conclusion The uterine vascular suture for the patients with hysterectomy can reduce the amount of bleeding, and enhance the safety of operation. So we reference this treatment for the patients with hysterectomy.
出处
《中国继续医学教育》
2015年第7期80-80,共1页
China Continuing Medical Education
关键词
腹腔镜
子宫切除术
子宫血管
缝扎
Laparoscopy
Hysterectomy
Uterine artery
Ligation
